- Medicare Primary Care in Divide, CO

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Divide, Colorado. The current practice location for is 34 Hybrook Rd South, Divide, Colorado. For appointments, you can reach them via phone at (719) 632-5700. The mailing address for is 3205 N Academy Blvd, Suite 130, Colorado Springs, Colorado and phone number is (719) 632-5700.

is licensed to practice in Colorado (license number ). The clinic also participates in the medicare program and its NPI number is 1609178524. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (719) 632-5700.

Contact Information

34 Hybrook Rd South
Divide
CO 80814
(719) 632-5700
(719) 687-4457

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location34 Hybrook Rd South, Divide, Colorado
Authorized Official Name and PositionRyan Spillane (CHIEF FINANCIAL OFFICER)
Authorized Official Contact7193447135
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

3205 N Academy Blvd
Suite 130
Colorado Springs
CO 80917

Ph: (719) 632-5700
34 Hybrook Rd South
Divide
CO 80814

Ph: (719) 632-5700

NPI Details:

NPI Number1609178524
Provider Enumeration Date11/29/2010
Last Update Date03/06/2023

Medicare PECOS Information:

Medicare PECOS PAC ID4688583974
Medicare Enrollment IDO20030311000019

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609178524NPI-NPPES
87322323MedicaidCO
05638267MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (Colorado)Primary

Reviews and Comments


Clinic/Center in Divide, CO


Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 11115 W. Highway 24, Unit 2c, Divide, CO 80814
Phone: 719-687-6416    Fax: 719-687-6501

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.