Mountain Health And Psychiatric Services, Llc | |
2343 Eagle Dr # 2 Pagosa Springs CO 81147-9058 | |
(970) 880-0951 | |
Not Available |
Full Name | Mountain Health And Psychiatric Services, Llc |
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Speciality | Psychiatry & Neurology |
Location | 2343 Eagle Dr # 2, Pagosa Springs, Colorado |
Authorized Official Name and Position | Brittiany Newsome (NURSE PRACTITIONER) |
Authorized Official Contact | 9708800951 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mountain Health And Psychiatric Services, Llc Po Box 546 Pagosa Springs CO 81147-0545 Ph: () - | Mountain Health And Psychiatric Services, Llc 2343 Eagle Dr # 2 Pagosa Springs CO 81147-9058 Ph: (970) 880-0951 |
NPI Number | 1578263240 |
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Provider Enumeration Date | 03/09/2023 |
Last Update Date | 03/12/2023 |
Certification Date | 03/12/2023 |
Medicare PECOS PAC ID | 8325413206 |
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Medicare Enrollment ID | O20230406000572 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578263240 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Brittiany M Newsome |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821345570 PECOS PAC ID: 7517274780 Enrollment ID: I20150921001914 |
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