Monfort Family Clinic- Vision Supply | |
2930 11th Ave Ste A Evans CO 80620-1011 | |
(970) 346-2546 | |
(970) 350-4645 |
Full Name | Monfort Family Clinic- Vision Supply |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 2930 11th Ave Ste A, Evans, Colorado |
Authorized Official Name and Position | Cathy Wolff (CFO) |
Authorized Official Contact | 9703462546 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Monfort Family Clinic- Vision Supply 2930 11th Ave Evans CO 80620-1011 Ph: () - | Monfort Family Clinic- Vision Supply 2930 11th Ave Ste A Evans CO 80620-1011 Ph: (970) 346-2546 |
NPI Number | 1851930663 |
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Provider Enumeration Date | 12/26/2019 |
Last Update Date | 06/24/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851930663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
Monfort Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2930 11th Ave, Evans, CO 80620 Phone: 970-353-9403 Fax: 970-353-9906 | |
Kid's Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 37th St, Evans, CO 80620 Phone: 970-353-9403 |