Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 600 Russell St, Craig, Colorado |
Authorized Official Name and Position | Caitlin Bagley (PROVIDER RELATIONS COORDINATOR) |
Authorized Official Contact | 9708263132 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
750 Hospital Loop Craig CO 81625-8750 Ph: (970) 826-9411 | 600 Russell St Craig CO 81625-2018 Ph: (970) 824-3252 |
NPI Number | 1316514888 |
---|---|
Provider Enumeration Date | 06/04/2021 |
Last Update Date | 08/21/2023 |
Medicare PECOS PAC ID | 1254231533 |
---|---|
Medicare Enrollment ID | O20170825000169 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316514888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Rocky Mountain Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 Yampa Ave, Craig, CO 81625 Phone: 970-493-9193 | |
Knerl Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Hospital Loop, Craig, CO 81625 Phone: 702-453-3799 Fax: 702-453-5741 | |
Mountain Medical Specialists, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 595 Russell St, Craig, CO 81625 Phone: 970-826-0911 Fax: 970-826-0910 |