| Monfort Family Clinic | |
|
2930 11th Ave Evans CO 80620-1011 | |
| (970) 353-9403 | |
| (970) 353-9906 |
| Full Name | Monfort Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2930 11th Ave, Evans, Colorado |
| Authorized Official Name and Position | Cathy Wolff (CFO) |
| Authorized Official Contact | 9703462546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monfort Family Clinic 2930 11th Ave Evans CO 80620-1011 Ph: (970) 353-9403 | Monfort Family Clinic 2930 11th Ave Evans CO 80620-1011 Ph: (970) 353-9403 |
| NPI Number | 1295732048 |
|---|---|
| Provider Enumeration Date | 07/07/2005 |
| Last Update Date | 05/29/2023 |
| Medicare PECOS PAC ID | 0648164780 |
|---|---|
| Medicare Enrollment ID | O20040210001043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295732048 | NPI | - | NPPES |
| 05638283 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Colorado) | Primary |
Kid's Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 37th St, Evans, CO 80620 Phone: 970-353-9403 | |
Monfort Family Clinic- Vision Supply Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2930 11th Ave Ste A, Evans, CO 80620 Phone: 970-346-2546 Fax: 970-350-4645 |