Health Essentials Inc | |
451 14th St Burlington CO 80807-1609 | |
(719) 346-4681 | |
(719) 346-8742 |
Full Name | Health Essentials Inc |
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Speciality | Clinic/Center |
Location | 451 14th St, Burlington, Colorado |
Authorized Official Name and Position | Jeremiah J Bogenhagen (OWNER/CEO) |
Authorized Official Contact | 7193464681 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Health Essentials Inc 451 14th St Burlington CO 80807-1609 Ph: (719) 346-4681 | Health Essentials Inc 451 14th St Burlington CO 80807-1609 Ph: (719) 346-4681 |
NPI Number | 1699414029 |
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Provider Enumeration Date | 06/02/2022 |
Last Update Date | 10/05/2022 |
Medicare PECOS PAC ID | 8820474596 |
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Medicare Enrollment ID | O20221004000068 |
Identifier | Type | State | Issuer |
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1699414029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Provider Name | Susan Dorman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033317557 PECOS PAC ID: 5698916609 Enrollment ID: I20200713003015 |
Provider Name | Caitlyn Leigh Griffin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992427108 PECOS PAC ID: 6507232576 Enrollment ID: I20221017000030 |
Provider Name | Alexandra J Hitchcock |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447976238 PECOS PAC ID: 9537536859 Enrollment ID: I20221029000247 |