San Luis Valleyhealth Monte Vista Community Clinic is a medicare enrolled "Family Medicine" provider in Monte Vista, Colorado. Their current practice location is
103 Chico Ct, Monte Vista, Colorado. You can reach out to their office (for appointments etc.) via phone at
(719) 852-9400.
San Luis Valleyhealth Monte Vista Community Clinic is licensed to practice in Colorado (license number 011001) and it also participates in the medicare program. San Luis Valleyhealth Monte Vista Community Clinic
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1083012504.
Healthcare Provider's Profile
Full Name | San Luis Valleyhealth Monte Vista Community Clinic |
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Type | Facility |
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Speciality | Family Medicine |
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Location | 103 Chico Ct, Monte Vista, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083012504
- Provider Enumeration Date: 12/16/2014
- Last Update Date: 05/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789589094
- Enrollment ID: O20150227001476
Medical Identifiers
Medical identifiers for San Luis Valleyhealth Monte Vista Community Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083012504 | NPI | - | NPPES |
9000144694 | Medicaid | CO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 011001 (Colorado) | Secondary |
207Q00000X | Family Medicine | 011001 (Colorado) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 011001 (Colorado) | Secondary |
363A00000X | Physician Assistant | 011001 (Colorado) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. San Luis Valleyhealth Monte Vista Community Clinic is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
San Luis Valleyhealth Monte Vista Community Clinic 106 Blanca Ave, Alamosa, CO 81101-2340 Ph: (719) 589-2511 | San Luis Valleyhealth Monte Vista Community Clinic 103 Chico Ct, Monte Vista, CO 81144-1065 Ph: (719) 852-9400 |
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