Mobile Health Services Van | |
2510 Platte Pl Colorado Springs CO 80909-6134 | |
(719) 632-5700 | |
Not Available |
Full Name | Mobile Health Services Van |
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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 |
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Provider Enumeration Date | 01/13/2010 |
Last Update Date | 04/05/2023 |
Medicare PECOS PAC ID | 4688583974 |
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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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