| |
4901 Thompson Pkwy Johnstown CO 80534-6426 | |
(303) 338-4545 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 4901 Thompson Pkwy, Johnstown, Colorado |
Authorized Official Name and Position | Michael S Ramseier (REGIONAL PRESIDENT) |
Authorized Official Contact | 3033447256 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
10350 E Dakota Ave Denver CO 80247-1314 Ph: () - | 4901 Thompson Pkwy Johnstown CO 80534-6426 Ph: (303) 338-4545 |
NPI Number | 1053681767 |
---|---|
Provider Enumeration Date | 01/11/2012 |
Last Update Date | 04/11/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053681767 | NPI | - | NPPES |
04510301 | Medicaid | CO | |
04710083 | Medicaid | CO | |
04020087 | Medicaid | CO | |
30478251 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Colorado) | Primary |
Banner Health Physicians Colorado Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Johnstown Center Dr, Johnstown, CO 80534 Phone: 970-587-4974 | |
Northern Colorado Rehabilitation Hospital Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4401 Union Street, Johnstown, CO 80534 Phone: 970-619-3400 Fax: 970-278-9343 | |
Banner Medical Group Greeley Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Johnstown Center Dr, Johnstown, CO 80534 Phone: 970-587-4974 | |
Northern Colorado Rehabilitation Hospital Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4401 Union St, Johnstown, CO 80534 Phone: 970-619-3400 Fax: 970-278-9343 |