| Boondocs Medical Services, Llc | |
|
1021 N Market Plz Pueblo West CO 81007-1531 | |
| (719) 470-8706 | |
| Not Available |
| Full Name | Boondocs Medical Services, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1021 N Market Plz, Pueblo West, Colorado |
| Authorized Official Name and Position | Sheryl Belanger (OWNER) |
| Authorized Official Contact | 7194708706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boondocs Medical Services, Llc 1021 N Market Plz Pueblo West CO 81007-1531 Ph: () - | Boondocs Medical Services, Llc 1021 N Market Plz Pueblo West CO 81007-1531 Ph: (719) 470-8706 |
| NPI Number | 1144828401 |
|---|---|
| Provider Enumeration Date | 10/09/2020 |
| Last Update Date | 10/25/2020 |
| Medicare PECOS PAC ID | 7719398163 |
|---|---|
| Medicare Enrollment ID | O20201116003027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144828401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sheryl C Belanger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497772495 PECOS PAC ID: 0244325637 Enrollment ID: I20091119000426 |
Touchstone Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 729 E Spaulding Ave, Pueblo West, CO 81007 Phone: 719-547-9119 Fax: 719-547-7555 | |
Generations Primary Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 E Spaulding Ave, Building 2, Suite 3, Pueblo West, CO 81007 Phone: 719-281-1605 Fax: 719-988-9677 | |
Catholic Health Initiatives Colorado Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 729 E Spaulding Ave, Pueblo West, CO 81007 Phone: 719-547-9119 Fax: 719-547-7555 | |
Prpw Pc Pueblo West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 729 E Spaulding Ave, Pueblo West, CO 81007 Phone: 719-547-9119 Fax: 719-557-3650 | |
Dana R Bennett Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 S Crescent Dr, Pueblo West, CO 81007 Phone: 719-547-3924 Fax: 719-547-8368 | |
Pueblo West Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 141 S Purcell Blvd Ste 140, Pueblo West, CO 81007 Phone: 719-281-9587 Fax: 719-960-2054 |