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 |
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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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