| Alpine Meadows Medical Clinic, Pllc | |
|
2802 Madison Square Dr Suite 120 Loveland CO 80538-3387 | |
| (970) 776-1950 | |
| (970) 776-1954 |
| Full Name | Alpine Meadows Medical Clinic, Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 2802 Madison Square Dr, Loveland, Colorado |
| Authorized Official Name and Position | Martin Scott Bohm (PHYSICIAN) |
| Authorized Official Contact | 9707761950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpine Meadows Medical Clinic, Pllc 2802 Madison Square Dr Suite 120 Loveland CO 80538-3387 Ph: (970) 776-1950 | Alpine Meadows Medical Clinic, Pllc 2802 Madison Square Dr Suite 120 Loveland CO 80538-3387 Ph: (970) 776-1950 |
| NPI Number | 1255513677 |
|---|---|
| Provider Enumeration Date | 11/27/2007 |
| Last Update Date | 12/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255513677 | NPI | - | NPPES |
| 44910 | Other | CO | COLORADO STATE LICENSE |
| 70123012 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Colorado) | Primary |
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