| Ecc Creative Solutions, Inc | |
|
1515 Redwood Ave Boulder CO 80304-1115 | |
| (303) 842-1441 | |
| Not Available |
| Full Name | Ecc Creative Solutions, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1515 Redwood Ave, Boulder, Colorado |
| Authorized Official Name and Position | Eileen Gallagher (CEO, OWNER) |
| Authorized Official Contact | 3038421441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ecc Creative Solutions, Inc 1515 Redwood Ave Boulder CO 80304-1115 Ph: (303) 842-1441 | Ecc Creative Solutions, Inc 1515 Redwood Ave Boulder CO 80304-1115 Ph: (303) 842-1441 |
| NPI Number | 1467212076 |
|---|---|
| Provider Enumeration Date | 03/20/2024 |
| Last Update Date | 03/20/2024 |
| Medicare PECOS PAC ID | 3274971957 |
|---|---|
| Medicare Enrollment ID | O20240401000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467212076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Eileen S Gallagher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891779500 PECOS PAC ID: 5294723847 Enrollment ID: I20240401000701 |
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