| Axis Health System | |
|
495 W 4th St Dove Creek CO 81324-4900 | |
| (970) 677-2291 | |
| Not Available |
| Full Name | Axis Health System |
|---|---|
| Speciality | Clinic/Center |
| Location | 495 W 4th St, Dove Creek, Colorado |
| Authorized Official Name and Position | Shelly Burke (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 0000000000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Axis Health System Po Box 1328 Durango CO 81302-1328 Ph: (970) 335-2238 | Axis Health System 495 W 4th St Dove Creek CO 81324-4900 Ph: (970) 677-2291 |
| NPI Number | 1699301671 |
|---|---|
| Provider Enumeration Date | 03/21/2020 |
| Last Update Date | 05/27/2021 |
| Medicare PECOS PAC ID | 9133011802 |
|---|---|
| Medicare Enrollment ID | O20200611002589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699301671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Community Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 495 W 4th St, Dove Creek, CO 81324 Phone: 970-677-2291 Fax: 970-677-2540 |