| Centennial Medical Clinic | |
|
232 W 4th St Loveland CO 80537-5525 | |
| (970) 667-3565 | |
| (970) 667-2343 |
| Full Name | Centennial Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 232 W 4th St, Loveland, Colorado |
| Authorized Official Name and Position | Jenny Riley (OFFICE MANAGER) |
| Authorized Official Contact | 9706673565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centennial Medical Clinic 232 W 4th St Loveland CO 80537-5525 Ph: (970) 667-3565 | Centennial Medical Clinic 232 W 4th St Loveland CO 80537-5525 Ph: (970) 667-3565 |
| NPI Number | 1568515492 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 09/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568515492 | NPI | - | NPPES |
| 04925087 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 15838 (Colorado) | Primary |
| 207R00000X | Internal Medicine | 22781 (Colorado) | Secondary |
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