| |
741 Tamarisk Trl Rm 104 Parachute CO 81635-9753 | |
(970) 945-2840 | |
(970) 945-2893 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 741 Tamarisk Trl Rm 104, Parachute, Colorado |
Authorized Official Name and Position | Ross Brooks (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9709281609 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2700 Gilstrap Ct Ste 230 Glenwood Springs CO 81601-8735 Ph: (970) 945-2840 | 741 Tamarisk Trl Rm 104 Parachute CO 81635-9753 Ph: (970) 945-2840 |
NPI Number | 1861904666 |
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Provider Enumeration Date | 11/02/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861904666 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |