| Eastern Plains Medical Clinic | |
|
560 Crystola St Calhan CO 80808-8699 | |
| (719) 347-0100 | |
| (719) 347-0851 |
| Full Name | Eastern Plains Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 560 Crystola St, Calhan, Colorado |
| Authorized Official Name and Position | Renae Louise Crawford (OWNER) |
| Authorized Official Contact | 7193470100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Plains Medical Clinic Po Box 275 Calhan CO 80808-0275 Ph: (719) 347-0100 | Eastern Plains Medical Clinic 560 Crystola St Calhan CO 80808-8699 Ph: (719) 347-0100 |
| NPI Number | 1952366593 |
|---|---|
| Provider Enumeration Date | 04/18/2006 |
| Last Update Date | 10/06/2021 |
| Medicare PECOS PAC ID | 8729992516 |
|---|---|
| Medicare Enrollment ID | O20031117000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952366593 | NPI | - | NPPES |
| 03833232 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Eastern Plains Medical Clinic Of Calhan Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 560 Crystola Street, Calhan, CO 80808 Phone: 719-347-0100 |