Southeast Mental Health Services | |
122 N. Main St Lamar CO 81052-3901 | |
(719) 384-5446 | |
Not Available |
Full Name | Southeast Mental Health Services |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 122 N. Main St, Lamar, Colorado |
Authorized Official Name and Position | Lisa Chavez (CONTRACT & CREDENTIALING MANAGER) |
Authorized Official Contact | 7193835448 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southeast Mental Health Services 711 Barnes Ave La Junta CO 81050-2138 Ph: () - | Southeast Mental Health Services 122 N. Main St Lamar CO 81052-3901 Ph: (719) 384-5446 |
NPI Number | 1518547884 |
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Provider Enumeration Date | 04/12/2021 |
Last Update Date | 09/13/2022 |
Certification Date | 09/13/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518547884 | NPI | - | NPPES |
9000192972 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Southeast Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 N. Main St., Lamar, CO 81052 Phone: 719-384-5446 | |
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Southeast Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3500 1st St S, Lamar, CO 81052 Phone: 719-384-5446 Fax: 719-384-5672 | |
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