| La Plata Integrated Healthcare | |
|
1970 E 3rd Ave Unit 1 Lower Level Durango CO 81301-5056 | |
| (970) 335-2288 | |
| (970) 335-2280 |
| Full Name | La Plata Integrated Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 1970 E 3rd Ave, Durango, Colorado |
| Authorized Official Name and Position | Shelly Burke (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 0000000000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Plata Integrated Healthcare Po Box 1328 Durango CO 81302-1328 Ph: (970) 335-2238 | La Plata Integrated Healthcare 1970 E 3rd Ave Unit 1 Lower Level Durango CO 81301-5056 Ph: (970) 335-2288 |
| NPI Number | 1316374283 |
|---|---|
| Provider Enumeration Date | 10/08/2013 |
| Last Update Date | 10/14/2021 |
| Medicare PECOS PAC ID | 9133011802 |
|---|---|
| Medicare Enrollment ID | O20140523000996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316374283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Colorado) | Primary |
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