| C Lynn Partridge Md Llc | |
|
2243 Main Ave Ste 4e Durango CO 81301-4699 | |
| (970) 749-8895 | |
| (970) 385-4909 |
| Full Name | C Lynn Partridge Md Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2243 Main Ave, Durango, Colorado |
| Authorized Official Name and Position | Carole Lynn Partridge (MANAGER) |
| Authorized Official Contact | 9707498895 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C Lynn Partridge Md Llc 2243 Main Ave Ste 4e Durango CO 81301-4699 Ph: (970) 749-8895 | C Lynn Partridge Md Llc 2243 Main Ave Ste 4e Durango CO 81301-4699 Ph: (970) 749-8895 |
| NPI Number | 1205179397 |
|---|---|
| Provider Enumeration Date | 03/27/2013 |
| Last Update Date | 03/27/2013 |
| Medicare PECOS PAC ID | 6608010459 |
|---|---|
| Medicare Enrollment ID | O20130917000184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205179397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 20131082321 (Colorado) | Primary |
| Provider Name | Carole L Partridge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558440537 PECOS PAC ID: 1456518786 Enrollment ID: I20120130000082 |
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