| Family Practice Of Holyoke | |
|
1001 E Johnson Street Holyoke CO 80734-1854 | |
| (970) 854-2500 | |
| (970) 854-3440 |
| Full Name | Family Practice Of Holyoke |
|---|---|
| Speciality | Clinic/Center |
| Location | 1001 E Johnson Street, Holyoke, Colorado |
| Authorized Official Name and Position | Michael Hassell (CEO) |
| Authorized Official Contact | 9708542241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Of Holyoke 1001 E Johnson Street Holyoke CO 80734-1854 Ph: (970) 854-2500 | Family Practice Of Holyoke 1001 E Johnson Street Holyoke CO 80734-1854 Ph: (970) 854-2500 |
| NPI Number | 1073520375 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 01/04/2023 |
| Medicare PECOS PAC ID | 9638161615 |
|---|---|
| Medicare Enrollment ID | O20080409000705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073520375 | NPI | - | NPPES |
| 59725877 | Medicaid | CO | |
| CC8329 | Other | CO | RR MCR # |
| FA231008 | Other | CO | BC/BS PROV # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Colorado) | Primary |
Banner Health Physicians Colorado Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 E Johnson St, Holyoke, CO 80734 Phone: 970-854-2241 | |
Rural Physicians Group, Pannu-pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 E Johnson St, Holyoke, CO 80734 Phone: 303-390-1924 Fax: 866-368-6349 | |
Family Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 E Johnson St, Holyoke, CO 80734 Phone: 970-854-2241 |