| Mino Family Health Care, P.c. | |
|
1380 Tulip St Suite C Longmont CO 80501-3157 | |
| (303) 776-0330 | |
| (303) 772-0736 |
| Full Name | Mino Family Health Care, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1380 Tulip St, Longmont, Colorado |
| Authorized Official Name and Position | Thomas Dwight Mino (PRESIDENT) |
| Authorized Official Contact | 3037760330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mino Family Health Care, P.c. 1380 Tulip St Suite C Longmont CO 80501-3157 Ph: (303) 776-0330 | Mino Family Health Care, P.c. 1380 Tulip St Suite C Longmont CO 80501-3157 Ph: (303) 776-0330 |
| NPI Number | 1598721706 |
|---|---|
| Provider Enumeration Date | 04/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598721706 | NPI | - | NPPES |
| 87758211 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 32805 (Colorado) | Primary |
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