| High Plains Holly Clinic | |
|
410 West Colorado Holly CO 81047 | |
| (719) 336-0261 | |
| (719) 336-0265 |
| Full Name | High Plains Holly Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 410 West Colorado, Holly, Colorado |
| Authorized Official Name and Position | Gene Sobczak (CEO) |
| Authorized Official Contact | 7193360261 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| High Plains Holly Clinic 201 Kendall Dr Lamar CO 81052-3939 Ph: (719) 336-0261 | High Plains Holly Clinic 410 West Colorado Holly CO 81047 Ph: (719) 336-0261 |
| NPI Number | 1932596350 |
|---|---|
| Provider Enumeration Date | 04/23/2015 |
| Last Update Date | 09/04/2024 |
| Medicare PECOS PAC ID | 8527031533 |
|---|---|
| Medicare Enrollment ID | O20150805008802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932596350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Holly Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 West Colorado, Holly, CO 81047 Phone: 719-537-6042 Fax: 719-537-6052 |