| 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 |
|---|---|
| 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 |
|---|---|
| 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 |