Eastern Plains Medical Clinic Of Calhan | |
560 Crystola Street Calhan CO 80808 | |
(719) 347-0100 | |
Not Available |
Full Name | Eastern Plains Medical Clinic Of Calhan |
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Speciality | Family Medicine |
Location | 560 Crystola Street, Calhan, Colorado |
Authorized Official Name and Position | Kelli Zearing (PRACTICE MANAGER) |
Authorized Official Contact | 7193470100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eastern Plains Medical Clinic Of Calhan Po Box 275 Calhan CO 80808-0275 Ph: (719) 347-0100 | Eastern Plains Medical Clinic Of Calhan 560 Crystola Street Calhan CO 80808 Ph: (719) 347-0100 |
NPI Number | 1508897117 |
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Provider Enumeration Date | 07/05/2006 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 8729992516 |
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Medicare Enrollment ID | O20040305000337 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508897117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (Colorado) | Primary |
261QR1300X | Clinic/center - Rural Health | (Colorado) | Secondary |
Provider Name | Kelly A Anthony |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811135197 PECOS PAC ID: 0547319832 Enrollment ID: I20090515000165 |
Provider Name | Paul L Cooper |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285654608 PECOS PAC ID: 8921139205 Enrollment ID: I20100630000531 |
Provider Name | Renae L Crawford |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639173057 PECOS PAC ID: 8527972314 Enrollment ID: I20100915000176 |
Provider Name | Cari B Chinn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063784387 PECOS PAC ID: 9931363447 Enrollment ID: I20120613000625 |
Provider Name | Elisabeth M Almond |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033645700 PECOS PAC ID: 9234406497 Enrollment ID: I20170519000085 |
Provider Name | Kristin Angus |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538775606 PECOS PAC ID: 1850794983 Enrollment ID: I20210727000652 |
Provider Name | Elizabeth N Cruz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194329573 PECOS PAC ID: 7517351588 Enrollment ID: I20230621002347 |
Eastern Plains Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 560 Crystola St, Calhan, CO 80808 Phone: 719-347-0100 Fax: 719-347-0851 |