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1033 2nd Avenue Monte Vista CO 81144-1737 | |
(719) 852-8827 | |
(719) 852-2738 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1033 2nd Avenue, Monte Vista, Colorado |
Authorized Official Name and Position | Arlene Harms (CEO) |
Authorized Official Contact | 7196574104 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1033 2nd Avenue Monte Vista CO 81144-1737 Ph: (719) 852-8827 | 1033 2nd Avenue Monte Vista CO 81144-1737 Ph: (719) 852-8827 |
NPI Number | 1144777566 |
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Provider Enumeration Date | 09/01/2016 |
Last Update Date | 04/05/2023 |
Medicare PECOS PAC ID | 7517951536 |
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Medicare Enrollment ID | O20160919002535 |
Identifier | Type | State | Issuer |
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1144777566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 251011 (Colorado) | Primary |
Monte Vista Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Chico Ct, Monte Vista, CO 81144 Phone: 719-852-9400 | |
Pence Pediatrics, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Rupert Street, West Entrance, Monte Vista, CO 81144 Phone: 719-852-3742 Fax: 719-785-5741 | |