| Health Center At International Circle | |
|
2828 International Circle Suite 160 Colorado Springs CO 80910 | |
| (719) 632-5700 | |
| (719) 344-7812 |
| Full Name | Health Center At International Circle |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2828 International Circle, Colorado Springs, Colorado |
| Authorized Official Name and Position | Cindy Pratt (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7193446188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Center At International Circle 3205 N Academy Blvd Suite 130 Colorado Springs CO 80917 Ph: (719) 632-5700 | Health Center At International Circle 2828 International Circle Suite 160 Colorado Springs CO 80910 Ph: (719) 632-5700 |
| NPI Number | 1780982058 |
|---|---|
| Provider Enumeration Date | 03/10/2011 |
| Last Update Date | 05/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780982058 | NPI | - | NPPES |
| 05638267 | Medicaid | CO | |
| 69458324 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Colorado) | Primary |
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