| Ncmc Specialty Clinic | |
|
1800 15th St Suite 310 Greeley CO 80631-4500 | |
| (970) 392-0900 | |
| Not Available |
| Full Name | Ncmc Specialty Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1800 15th St, Greeley, Colorado |
| Authorized Official Name and Position | Dennis Laraway (CFO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ncmc Specialty Clinic 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Ncmc Specialty Clinic 1800 15th St Suite 310 Greeley CO 80631-4500 Ph: (970) 392-0900 |
| NPI Number | 1104073261 |
|---|---|
| Provider Enumeration Date | 08/20/2008 |
| Last Update Date | 12/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104073261 | NPI | - | NPPES |
| 38757010 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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