| Holly Medical Clinic | |
|
410 West Colorado Holly CO 81047-0219 | |
| (719) 537-6042 | |
| (719) 537-6052 |
| Full Name | Holly Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 410 West Colorado, Holly, Colorado |
| Authorized Official Name and Position | James D Tusten (CEO/ADMINISTRATOR) |
| Authorized Official Contact | 6204926250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Medical Clinic Po Box 639 Johnson KS 67855-0639 Ph: (620) 492-1400 | Holly Medical Clinic 410 West Colorado Holly CO 81047-0219 Ph: (719) 537-6042 |
| NPI Number | 1841525276 |
|---|---|
| Provider Enumeration Date | 10/02/2009 |
| Last Update Date | 06/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841525276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
High Plains Holly Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 West Colorado, Holly, CO 81047 Phone: 719-336-0261 Fax: 719-336-0265 |