| Health Center At Rio Grande | |
|
117 W Rio Grande Street Colorado Springs CO 80903 | |
| (719) 632-5700 | |
| (719) 344-7836 |
| Full Name | Health Center At Rio Grande |
|---|---|
| Speciality | Clinic/Center |
| Location | 117 W Rio Grande Street, Colorado Springs, Colorado |
| Authorized Official Name and Position | Cindy Pratt (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7193446188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Center At Rio Grande 3205 N Academy Blvd Suite 130 Colorado Springs CO 80917 Ph: (719) 632-5700 | Health Center At Rio Grande 117 W Rio Grande Street Colorado Springs CO 80903 Ph: (719) 632-5700 |
| NPI Number | 1043512023 |
|---|---|
| Provider Enumeration Date | 11/24/2010 |
| Last Update Date | 05/18/2021 |
| Medicare PECOS PAC ID | 4688583974 |
|---|---|
| Medicare Enrollment ID | O20030311000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043512023 | NPI | - | NPPES |
| 55820221 | Medicaid | CO | |
| 05638267 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Colorado) | Primary |
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