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101 S Maple St Ste B Cortez CO 81321-3562 | |
(970) 565-1800 | |
(833) 245-0112 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 101 S Maple St Ste B, Cortez, Colorado |
Authorized Official Name and Position | Shelly Burke (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 0000000000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1328 Durango CO 81302-1328 Ph: (970) 335-2238 | 101 S Maple St Ste B Cortez CO 81321-3562 Ph: (970) 565-1800 |
NPI Number | 1134755119 |
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Provider Enumeration Date | 03/21/2020 |
Last Update Date | 05/27/2021 |
Identifier | Type | State | Issuer |
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1134755119 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Southwest Internal Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 N Park St, Cortez, CO 81321 Phone: 970-564-8730 | |