| Mountain Family Health Centers | |
|
1905 Blake Ave Suite 101 Glenwood Springs CO 81601-4288 | |
| (970) 945-2840 | |
| (970) 945-2893 |
| Full Name | Mountain Family Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 1905 Blake Ave, Glenwood Springs, Colorado |
| Authorized Official Name and Position | Dustin Moyer (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 2700 Gilstrap Ct Ste 230 Glenwood Springs CO 81601-8735 Ph: (970) 945-2840 | Mountain Family Health Centers 1905 Blake Ave Suite 101 Glenwood Springs CO 81601-4288 Ph: (970) 945-2840 |
| NPI Number | 1477552388 |
|---|---|
| Provider Enumeration Date | 07/21/2005 |
| Last Update Date | 06/24/2024 |
| Medicare PECOS PAC ID | 3173413101 |
|---|---|
| Medicare Enrollment ID | O20040316000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477552388 | NPI | - | NPPES |
| 05600812 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Christopher J Tonozzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609950922 PECOS PAC ID: 4082716758 Enrollment ID: I20070227000210 |
| Provider Name | Debra Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780800342 PECOS PAC ID: 7911068002 Enrollment ID: I20081208000488 |
| Provider Name | Sandra Lopina Deveny |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477545374 PECOS PAC ID: 1850284357 Enrollment ID: I20090216000506 |
| Provider Name | Kjell A Benson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972541845 PECOS PAC ID: 2860426137 Enrollment ID: I20090303000123 |
| Provider Name | Gail E Mizner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962436535 PECOS PAC ID: 5395718225 Enrollment ID: I20101228000502 |
| Provider Name | Casey M Aguirre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124258926 PECOS PAC ID: 4486800182 Enrollment ID: I20120813000490 |
| Provider Name | Sara E Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316251580 PECOS PAC ID: 2062643091 Enrollment ID: I20140315000031 |
| Provider Name | Anneliese Yahn Heckert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538456041 PECOS PAC ID: 3173743192 Enrollment ID: I20140925000908 |
| Provider Name | Matthew Boschert Percy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982993838 PECOS PAC ID: 9830329937 Enrollment ID: I20150107002420 |
| Provider Name | Adriene K Fedde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609915636 PECOS PAC ID: 4284791559 Enrollment ID: I20170228000895 |
| Provider Name | Brett Deutscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689952459 PECOS PAC ID: 0143593046 Enrollment ID: I20170828004242 |
| Provider Name | Kelley Jean Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326546268 PECOS PAC ID: 4688935752 Enrollment ID: I20180306002272 |
| Provider Name | Zackary Jacob Kent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407038706 PECOS PAC ID: 0941354583 Enrollment ID: I20190718001677 |
| Provider Name | Kaitlin S Forman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487088423 PECOS PAC ID: 3274954987 Enrollment ID: I20200605000232 |
| Provider Name | Noreen Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588920177 PECOS PAC ID: 4981830536 Enrollment ID: I20200701001443 |
| Provider Name | Bryn Lou Brendamour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750953477 PECOS PAC ID: 8820494917 Enrollment ID: I20210915002771 |
| Provider Name | Louise T Mckey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487199238 PECOS PAC ID: 0042595878 Enrollment ID: I20220810001635 |
| Provider Name | Ericka Dries |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952924227 PECOS PAC ID: 1850777061 Enrollment ID: I20220926001363 |
| Provider Name | Cristina Andrade Guzman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578111837 PECOS PAC ID: 1850777921 Enrollment ID: I20220928000546 |
| Provider Name | Wilber L. Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063129898 PECOS PAC ID: 3678946803 Enrollment ID: I20230308002293 |
| Provider Name | Lydia L Sprouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891453395 PECOS PAC ID: 0042664294 Enrollment ID: I20230921004006 |
| Provider Name | Tiffany Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750737235 PECOS PAC ID: 0547610487 Enrollment ID: I20240301001513 |
| Provider Name | Timothy Wayne Wheeler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093452732 PECOS PAC ID: 6709223829 Enrollment ID: I20240326000433 |
Mountain Family Health Centers Mobile Dental Van Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1905 Blake Ave Ste 101, Glenwood Springs, CO 81601 Phone: 970-945-2840 Fax: 970-945-2893 | |
Valley View Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1906 Blake Ave, Glenwood Springs, CO 81601 Phone: 970-384-6707 Fax: 970-384-8108 | |
Mountain Family Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1905 Blake Ave, Suite 101, Glenwood Springs, CO 81601 Phone: 970-945-2840 Fax: 970-945-2893 | |
Valley View Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2305 Blake Ave, Glenwood Springs, CO 81601 Phone: 970-963-3350 Fax: 970-963-2958 | |
Children's Hospital Colorado Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1905 Blake Ave Ste 201, Glenwood Springs, CO 81601 Phone: 970-947-9999 | |
Valley View Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2305 Blake Avenue, Glenwood Springs, CO 81601 Phone: 970-384-6707 Fax: 970-384-8128 | |
Trailhead Clinics Glenwood Springs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1607 Grand Ave Unit 22, Glenwood Springs, CO 81601 Phone: 970-404-8700 Fax: 970-945-9581 |