| Guadalupe Physical Therapy | |
|
10th And Dahlia Antonito CO 81120 | |
| (719) 376-5426 | |
| (719) 376-5880 |
| Full Name | Guadalupe Physical Therapy |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 10th And Dahlia, Antonito, Colorado |
| Authorized Official Name and Position | Jania Arnoldi (PRESIDENT/CEO) |
| Authorized Official Contact | 7195895161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guadalupe Physical Therapy 128 Market St Alamosa CO 81101-2290 Ph: (719) 589-5161 | Guadalupe Physical Therapy 10th And Dahlia Antonito CO 81120 Ph: (719) 376-5426 |
| NPI Number | 1114363934 |
|---|---|
| Provider Enumeration Date | 05/20/2013 |
| Last Update Date | 05/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114363934 | NPI | - | NPPES |
| VAC 4808 | Other | CO | ANTHEM |
| 75508222 | Medicaid | CO | |
| CE 9669 | Other | CO | TRAVELERS MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Colorado) | Primary |
| 261QR0400X | Clinic/center - Rehabilitation | (Colorado) | Secondary |
San Luis Valley Behavioral Health Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9th & Dahlia, Aka 915 Dahlia, Antonito, CO 81120 Phone: 719-589-3671 | |
Guadalupe Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10th And Dahlia, Antonito, CO 81120 Phone: 719-376-5426 Fax: 719-376-5880 | |
San Luis Valley Behavioral Health Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9th & Dahlia, Aka 915 Dahlia, Antonito, CO 81120 Phone: 719-589-3671 | |
Conejos County Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Main Street, Antonito, CO 81120 Phone: 719-376-2308 Fax: 719-376-2395 | |
South Conejos School District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13099 County Rd G., Antonito, CO 81120 Phone: 719-376-7000 | |
Slv Health Antonito Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 Main Street, Antonito, CO 81120 Phone: 719-376-2308 Fax: 719-376-2395 |