Custer County Hcbs | |
740 Edwards St Westcliffe CO 81252-8588 | |
(719) 783-2380 | |
Not Available |
Full Name | Custer County Hcbs |
---|---|
Speciality | Family Medicine |
Location | 740 Edwards St, Westcliffe, Colorado |
Authorized Official Name and Position | Toloa Pearl (ADMINISTRATOR) |
Authorized Official Contact | 7197832380 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Custer County Hcbs Po Box 120 Westcliffe CO 81252-0120 Ph: (719) 783-2380 | Custer County Hcbs 740 Edwards St Westcliffe CO 81252-8588 Ph: (719) 783-2380 |
NPI Number | 1992704761 |
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Provider Enumeration Date | 07/14/2005 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992704761 | NPI | - | NPPES |
04141362 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Colorado) | Primary |
Salida Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 704 Edwards Ave, Westcliffe, CO 81252 Phone: 719-783-2380 | |
West Custer County Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 704 Edwards Ave, Westcliffe, CO 81252 Phone: 719-783-2380 Fax: 719-783-2377 |