CASA DE SALUD - NPI 1376823625 - Clinic/Center in Albuquerque, NM

Q: What is Justice Access Support And Solutions For Health's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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About Casa De Salud NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASA DE SALUD (NPI 1376823625) is a healthcare organization registered as a clinic/center in Albuquerque, New Mexico and active in the NPI registry since August 2011. The organization holds 2 active CLIA laboratory certificates and lists Elizabeth Boyce, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1376823625

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameJUSTICE ACCESS SUPPORT AND SOLUTIONS FOR HEALTH

Location Address1608 ISLETA BLVD SWAlbuquerque, NM 87105-4634

Mailing Address1608 Isleta Blvd SwAlbuquerque, NM 87105-4634 · (505) 907-8311 · Fax (505) 288-3561

Phone(505) 907-8311

Fax(505) 288-3561

Organization SubpartNo

Authorized OfficialElizabeth BoyceDirector Of Operations · (505) 417-2362

Enumeration DateAugust 18, 2011

Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration

NPPES CertifiedAugust 14, 2024

✔ NPI 1376823625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in NM · NONE

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedFamily MedicineTaxonomy 207Q00000X

1608 ISLETA BLVD SW, Albuquerque, NM 87105

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Other Names 1

Doing Business AsCasa De Salud

Other Identifiers 1

Medicaid96001224NM

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2032243

Casa De Salud · Albuquerque, NM

Active · expires Mar 23, 2028

CLIA Number32D2032243

Laboratory TypeRural Health Clinic

Certificate Effective DateMarch 24, 2026

Certificate Expiration DateMarch 23, 2028

Laboratory DirectorBrea Bond

Laboratory Phone(505) 907-8311

Laboratory LocationCasa De Salud1608 Isleta Blvd SW, Albuquerque, NM 87105

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 32D2340990

Casa De Salud · Los Lunas, NM

Active · expires Mar 25, 2028

CLIA Number32D2340990

Laboratory TypeRural Health Clinic

Certificate Effective DateMarch 26, 2026

Certificate Expiration DateMarch 25, 2028

Laboratory DirectorBrea Bond

Laboratory Phone(505) 907-8311

Laboratory LocationCasa De Salud367 Main St SE, Los Lunas, NM 87031

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA ESTELA GONZALEZ CNP

Nurse Practitioner (Family)