|
| |
|
111 E 26th St Greeley CO 80631-7300 | |
| (970) 702-2675 | |
| (970) 350-4645 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 111 E 26th St, Greeley, Colorado |
| Authorized Official Name and Position | Cathy Wolff (CFO) |
| Authorized Official Contact | 9703462546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2930 11th Ave Evans CO 80620-1011 Ph: (970) 702-2675 | 111 E 26th St Greeley CO 80631-7300 Ph: (970) 702-2675 |
| NPI Number | 1679116875 |
|---|---|
| Provider Enumeration Date | 10/21/2019 |
| Last Update Date | 05/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679116875 | NPI | - | NPPES |
| 1679116875 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Happy Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1122 9th St Ste 101, Greeley, CO 80631 Phone: 970-353-5203 | |
Robert O. Kron P.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3535 W 12th St, #b, Greeley, CO 80634 Phone: 970-351-6095 Fax: 970-351-0155 | |
Burt Stewart Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6937 West 10th Street, Greeley, CO 80634 Phone: 970-356-5277 Fax: 970-351-8788 | |
Sarang & Mahal Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1711 61st Ave Ste 108, Greeley, CO 80634 Phone: 970-515-6332 |