| Mountain Family Health Centers | |
|
123 Emma Rd Basalt CO 81621-9169 | |
| (970) 945-2840 | |
| (970) 945-2893 |
| Full Name | Mountain Family Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 123 Emma Rd, Basalt, Colorado |
| Authorized Official Name and Position | Ross A Brooks (CEO) |
| Authorized Official Contact | 9709452840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Family Health Centers 1905 Blake Ave Suite 101 Glenwood Springs CO 81601-4288 Ph: (970) 945-2840 | Mountain Family Health Centers 123 Emma Rd Basalt CO 81621-9169 Ph: (970) 945-2840 |
| NPI Number | 1548569924 |
|---|---|
| Provider Enumeration Date | 03/24/2011 |
| Last Update Date | 04/01/2021 |
| Medicare PECOS PAC ID | 3173413101 |
|---|---|
| Medicare Enrollment ID | O20110623000398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548569924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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