| Lcc Campus Health Clinic | |
|
2401 S Main St Lamar CO 81052-3912 | |
| (719) 336-0261 | |
| (719) 336-0265 |
| Full Name | Lcc Campus Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2401 S Main St, Lamar, 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 |
|---|---|
| Lcc Campus Health Clinic 201 Kendall Dr Lamar CO 81052-3939 Ph: (719) 336-0261 | Lcc Campus Health Clinic 2401 S Main St Lamar CO 81052-3912 Ph: (719) 336-0261 |
| NPI Number | 1275813982 |
|---|---|
| Provider Enumeration Date | 08/25/2011 |
| Last Update Date | 09/04/2024 |
| Medicare PECOS PAC ID | 8527031533 |
|---|---|
| Medicare Enrollment ID | O20120521000671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275813982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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