| Monte Vista Rural Health Clinic Of Rio Grande Hospital | |
|
1033 2nd Avenue Monte Vista CO 81144-1737 | |
| (719) 852-8827 | |
| (719) 852-2738 |
| Full Name | Monte Vista Rural Health Clinic Of Rio Grande Hospital |
|---|---|
| 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 |
|---|---|
| Monte Vista Rural Health Clinic Of Rio Grande Hospital 1033 2nd Avenue Monte Vista CO 81144-1737 Ph: (719) 852-8827 | Monte Vista Rural Health Clinic Of Rio Grande Hospital 1033 2nd Avenue Monte Vista CO 81144-1737 Ph: (719) 852-8827 |
| NPI Number | 1144777566 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 04/05/2023 |
| Medicare PECOS PAC ID | 7517951536 |
|---|---|
| Medicare Enrollment ID | O20160919002535 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144777566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 251011 (Colorado) | Primary |
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