| San Luis Health Center | |
|
233 Main Street Suite B San Luis CO 81152 | |
| (719) 672-3352 | |
| (719) 672-3638 |
| Full Name | San Luis Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 233 Main Street, San Luis, 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 |
|---|---|
| San Luis Health Center 128 Market St Alamosa CO 81101-2290 Ph: (719) 587-1001 | San Luis Health Center 233 Main Street Suite B San Luis CO 81152 Ph: (719) 672-3352 |
| NPI Number | 1417944729 |
|---|---|
| Provider Enumeration Date | 10/03/2005 |
| Last Update Date | 05/13/2024 |
| Medicare PECOS PAC ID | 5991609067 |
|---|---|
| Medicare Enrollment ID | O20040105000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417944729 | NPI | - | NPPES |
| 13984772 | Medicaid | CO | |
| VAC 4808 | Other | CO | ANTHEM BCBS |
| CE 9669 | Other | CO | TRAVELERS MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Colorado) | Primary |
Ernesto Pacheco Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Unit 1 B At 233 Main Street, Suite 2, San Luis, CO 81152 Phone: 719-672-3352 Fax: 719-672-3638 |