| Mobile Health Services Van | |
|
2510 Platte Pl Colorado Springs CO 80909-6134 | |
| (719) 632-5700 | |
| Not Available |
| Full Name | Mobile Health Services Van |
|---|---|
| Speciality | Clinic/Center |
| Location | 2510 Platte Pl, Colorado Springs, Colorado |
| Authorized Official Name and Position | Ryan Spillane (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7193447135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Health Services Van 3205 N Academy Blvd Suite 130 Colorado Springs CO 80917 Ph: (719) 632-5700 | Mobile Health Services Van 2510 Platte Pl Colorado Springs CO 80909-6134 Ph: (719) 632-5700 |
| NPI Number | 1285964262 |
|---|---|
| Provider Enumeration Date | 01/13/2010 |
| Last Update Date | 04/05/2023 |
| Medicare PECOS PAC ID | 4688583974 |
|---|---|
| Medicare Enrollment ID | O20100701000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285964262 | NPI | - | NPPES |
| 33135070 | Medicaid | CO | |
| 05638267 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Colorado) | Primary |
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