| Las Animas Clinic | |
|
245 Vine Ave Las Animas CO 81054-1039 | |
| (719) 456-2653 | |
| (719) 456-0105 |
| Full Name | Las Animas Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 245 Vine Ave, Las Animas, Colorado |
| Authorized Official Name and Position | Jania Arnoldi (PRESIDENT/CEO) |
| Authorized Official Contact | 7195895161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Animas Clinic 128 Market St Alamosa CO 81101-2290 Ph: (719) 587-1001 | Las Animas Clinic 245 Vine Ave Las Animas CO 81054-1039 Ph: (719) 456-2653 |
| NPI Number | 1124015607 |
|---|---|
| Provider Enumeration Date | 09/30/2005 |
| Last Update Date | 04/30/2024 |
| Medicare PECOS PAC ID | 5991609067 |
|---|---|
| Medicare Enrollment ID | O20100625000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124015607 | NPI | - | NPPES |
| CE 9669 | Other | CO | TRAVELERS MEDICARE NUMBER |
| 75083582 | Medicaid | CO | |
| VAC 4808 | Other | CO | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Colorado) | Primary |