| County Of Archuleta | |
|
502 S 8th St Pagosa Springs CO 81147 | |
| (970) 264-8440 | |
| Not Available |
| Full Name | County Of Archuleta |
|---|---|
| Speciality | Clinic/Center |
| Location | 502 S 8th St, Pagosa Springs, Colorado |
| Authorized Official Name and Position | Ashley Wilson (DIRECTOR OF PUBLIC HEALTH) |
| Authorized Official Contact | 9702648440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Archuleta Po Box 1507 Pagosa Springs CO 81147-1481 Ph: (970) 264-8440 | County Of Archuleta 502 S 8th St Pagosa Springs CO 81147 Ph: (970) 264-8440 |
| NPI Number | 1184406159 |
|---|---|
| Provider Enumeration Date | 10/16/2023 |
| Last Update Date | 12/06/2023 |
| Medicare PECOS PAC ID | 6800235003 |
|---|---|
| Medicare Enrollment ID | O20240422000749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184406159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
| Provider Name | David S Shaeffer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467657817 PECOS PAC ID: 4183893837 Enrollment ID: I20110815000095 |
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