| Mountain Medical Center Of Buena Vista, Pc | |
|
36 Oak Street Buena Vista CO 81211 | |
| (719) 395-8632 | |
| (719) 395-4971 |
| Full Name | Mountain Medical Center Of Buena Vista, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 36 Oak Street, Buena Vista, Colorado |
| Authorized Official Name and Position | Thomas E White (PRESIDENT) |
| Authorized Official Contact | 7193958632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Medical Center Of Buena Vista, Pc Po Box 3129 Buena Vista CO 81211-3129 Ph: (719) 395-8632 | Mountain Medical Center Of Buena Vista, Pc 36 Oak Street Buena Vista CO 81211 Ph: (719) 395-8632 |
| NPI Number | 1386728640 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 05/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386728640 | NPI | - | NPPES |
| 05638739 | Medicaid | CO | |
| DF7744 | Other | RAILROAD MEDICARE | |
| 04010187 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Hrrmc Buena Vista Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28374 County Road 317, Buena Vista, CO 81211 Phone: 719-395-9048 Fax: 719-395-9064 | |
Everybodys Solution Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Brookdale Ave, Suite A, Buena Vista, CO 81211 Phone: 719-207-6694 Fax: 855-291-7480 |