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1455 Dixon Ave Lafayette CO 80026-8879 | |
(303) 443-8500 | |
(720) 687-2752 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1455 Dixon Ave, Lafayette, Colorado |
Authorized Official Name and Position | Brian J Johnston (CFO) |
Authorized Official Contact | 3039260625 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1455 Dixon Ave Lafayette CO 80026-8879 Ph: (303) 443-8500 | 1455 Dixon Ave Lafayette CO 80026-8879 Ph: (303) 443-8500 |
NPI Number | 1184460321 |
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Provider Enumeration Date | 07/08/2024 |
Last Update Date | 11/04/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184460321 | NPI | - | NPPES |
17410517 | Medicaid | CO |
Banner Greeley Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Exempla Cir, Suite 200, Lafayette, CO 80026 Phone: 970-378-4433 | |