| Cesar E Chavez Family Medical Center | |
|
186 N Hurt St Center CO 81125 | |
| (719) 754-2778 | |
| (719) 754-2166 |
| Full Name | Cesar E Chavez Family Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 186 N Hurt St, Center, Colorado |
| Authorized Official Name and Position | Jania Arnoldi (PRESIDENT/CEO) |
| Authorized Official Contact | 7195895161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cesar E Chavez Family Medical Center 128 Market St Alamosa CO 81101-2290 Ph: (719) 587-1001 | Cesar E Chavez Family Medical Center 186 N Hurt St Center CO 81125 Ph: (719) 754-2778 |
| NPI Number | 1407843576 |
|---|---|
| Provider Enumeration Date | 10/04/2005 |
| Last Update Date | 05/13/2024 |
| Medicare PECOS PAC ID | 5991609067 |
|---|---|
| Medicare Enrollment ID | O20040315000384 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407843576 | NPI | - | NPPES |
| CE 9669 | Other | CO | TRAVELERS MEDICARE NUMBER |
| VAC 4808 | Other | CO | ANTHEM BCBS |
| 57200882 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Colorado) | Primary |
San Luis Valley Behavioral Health Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 Worth St, Center, CO 81125 Phone: 719-589-3671 | |
San Luis Valley Behavioral Health Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 Worth Street, Center, CO 81125 Phone: 719-589-3671 |