Ncmc Specialty Clinic | |
1517 16th Avenue Ct Greeley CO 80631-4574 | |
(970) 392-2496 | |
Not Available |
Full Name | Ncmc Specialty Clinic |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 1517 16th Avenue Ct, 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 1517 16th Avenue Ct Greeley CO 80631-4574 Ph: (970) 392-2496 |
NPI Number | 1619116159 |
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Provider Enumeration Date | 02/06/2009 |
Last Update Date | 12/22/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619116159 | NPI | - | NPPES |
PENDING | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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