Dr Ralph Edward Holsworth Jr, DO | |
373 E 10th Ave, Springfield, CO 81073-1622 | |
(719) 523-6628 | |
(719) 523-4290 |
Full Name | Dr Ralph Edward Holsworth Jr |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 373 E 10th Ave, Springfield, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881654150 | NPI | - | NPPES |
04837011 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 37599 (Colorado) | Primary |
207Q00000X | Family Medicine | OP60185754 (Washington) | Secondary |
Entity Name | Lutheran Hospital Association Of The San Luis Valley |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235181744 PECOS PAC ID: 4789589094 Enrollment ID: O20031201000318 |
Entity Name | Brim Healthcare Of Colorado Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275703910 PECOS PAC ID: 2860584224 Enrollment ID: O20090506000397 |
Entity Name | Carbon Health Medical Group Of Florida Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730781691 PECOS PAC ID: 3274947304 Enrollment ID: O20210504002947 |
Mailing Address | Practice Location Address |
---|---|
Dr Ralph Edward Holsworth Jr, DO 15300 Quandary Peak Rd, Pine, CO 80470-9135 Ph: (970) 560-0011 | Dr Ralph Edward Holsworth Jr, DO 373 E 10th Ave, Springfield, CO 81073-1622 Ph: (719) 523-6628 |
Janette Lorena S Javier, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Church St, Springfield, CO 81073 Phone: 719-523-6628 Fax: 719-523-4290 | |
Antonio S Manalo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Church St, Springfield, CO 81073 Phone: 719-523-6221 Fax: 719-523-4290 | |
Dr. Ryan Spencer Mccomb, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 373 E 10th Ave, Springfield, CO 81073 Phone: 719-523-4501 | |
Colten Smouse, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Church St, Springfield, CO 81073 Phone: 719-523-6628 |