| Brain Reintegration Center Llc | |
|
225 Minnesota Ave Paonia CO 81428-8503 | |
| (541) 647-0644 | |
| Not Available |
| Full Name | Brain Reintegration Center Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 225 Minnesota Ave, Paonia, Colorado |
| Authorized Official Name and Position | Amber Lee Fisher Trout (OWNER) |
| Authorized Official Contact | 5416470655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Reintegration Center Llc Po Box 1081 Paonia CO 81428-1081 Ph: (541) 647-0655 | Brain Reintegration Center Llc 225 Minnesota Ave Paonia CO 81428-8503 Ph: (541) 647-0644 |
| NPI Number | 1285248138 |
|---|---|
| Provider Enumeration Date | 09/08/2020 |
| Last Update Date | 09/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285248138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Dcmh West Elk Walk-in Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 Grand Ave, Paonia, CO 81428 Phone: 970-527-2100 Fax: 970-527-2107 | |
North Fork Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Minnesota Ave, Paonia, CO 81428 Phone: 970-527-4103 Fax: 970-527-5171 |