Health Center At Fountain | |
350 Lyckman Drive Fountain CO 80817 | |
(719) 632-5700 | |
(719) 322-0776 |
Full Name | Health Center At Fountain |
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Speciality | Clinic/Center |
Location | 350 Lyckman Drive, Fountain, Colorado |
Authorized Official Name and Position | Ryan Spillane (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 7193447135 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Health Center At Fountain 3205 N Academy Blvd Suite 130 Colorado Springs CO 80917 Ph: (719) 632-5700 | Health Center At Fountain 350 Lyckman Drive Fountain CO 80817 Ph: (719) 632-5700 |
NPI Number | 1124320106 |
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Provider Enumeration Date | 11/24/2010 |
Last Update Date | 03/06/2023 |
Medicare PECOS PAC ID | 4688583974 |
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Medicare Enrollment ID | O20060109000882 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124320106 | NPI | - | NPPES |
05638267 | Medicaid | CO | |
90158229 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Comfort Care Family Practice, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6908 Mesa Ridge Pkwy, Fountain, CO 80817 Phone: 719-471-2273 Fax: 719-380-0228 | |
Qwikcare Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6908 Mesa Ridge Pkwy, Fountain, CO 80817 Phone: 719-471-2273 Fax: 719-380-0228 | |
Davita Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5115 Fontaine Blvd, Fountain, CO 80817 Phone: 719-392-2000 Fax: 719-392-6937 |