| Entrada School Based Health Center | |
|
1740 Pepperwood Drive Colorado Springs CO 80910 | |
| (719) 632-5700 | |
| (719) 579-2662 |
| Full Name | Entrada School Based Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1740 Pepperwood Drive, Colorado Springs, Colorado |
| Authorized Official Name and Position | Tracy Narvet (CFO) |
| Authorized Official Contact | 7193446188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Entrada School Based Health Center 3205 N Academy Blvd Suite 130 Colorado Springs CO 80917 Ph: (719) 632-5700 | Entrada School Based Health Center 1740 Pepperwood Drive Colorado Springs CO 80910 Ph: (719) 632-5700 |
| NPI Number | 1164752812 |
|---|---|
| Provider Enumeration Date | 12/31/2009 |
| Last Update Date | 09/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164752812 | NPI | - | NPPES |
| 16206525 | Medicaid | CO | |
| 05638267 | Medicaid | CO |
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