Grand River Primary Care | |
501 Airport Rd Rifle CO 81650-8510 | |
(970) 625-1100 | |
Not Available |
Full Name | Grand River Primary Care |
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Speciality | Clinic/Center |
Location | 501 Airport Rd, Rifle, Colorado |
Authorized Official Name and Position | James Curtis Coombs (CEO) |
Authorized Official Contact | 9706256405 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Grand River Primary Care 501 Airport Rd Rifle CO 81650-8510 Ph: (970) 625-1100 | Grand River Primary Care 501 Airport Rd Rifle CO 81650-8510 Ph: (970) 625-1100 |
NPI Number | 1124074042 |
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Provider Enumeration Date | 05/25/2006 |
Last Update Date | 10/30/2020 |
Medicare PECOS PAC ID | 7113837469 |
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Medicare Enrollment ID | O20030529000066 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124074042 | NPI | - | NPPES |
05638523 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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