| Blue Sage Medical Corporation | |
|
615 Fairhurst St Sterling CO 80751-4523 | |
| (970) 522-0122 | |
| Not Available |
| Full Name | Blue Sage Medical Corporation |
|---|---|
| Speciality | Hospitalist |
| Location | 615 Fairhurst St, Sterling, Colorado |
| Authorized Official Name and Position | Lori Labrecque (ACCOUNTS MANAGER) |
| Authorized Official Contact | 7024533799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Sage Medical Corporation 3107 W Colorado Ave Box 291 Colorado Springs CO 80904-2088 Ph: (702) 453-3799 | Blue Sage Medical Corporation 615 Fairhurst St Sterling CO 80751-4523 Ph: (970) 522-0122 |
| NPI Number | 1053799171 |
|---|---|
| Provider Enumeration Date | 05/08/2015 |
| Last Update Date | 05/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053799171 | NPI | - | NPPES |
| DR30054726 | Other | CO | CO LICENSE |
| M12236 | Other | ID | ID LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DR30054726 (Colorado) | Secondary |
| 208M00000X | Hospitalist | DR30054726 (Colorado) | Primary |
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