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121 S. Crescent Drive Pueblo West CO 81007-5434 | |
| (719) 595-7575 | |
| (719) 547-8368 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 121 S. Crescent Drive, Pueblo West, Colorado |
| Authorized Official Name and Position | Jana Conroy (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 7195957575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 Ph: () - | 121 S. Crescent Drive Pueblo West CO 81007-5434 Ph: (719) 595-7575 |
| NPI Number | 1902440597 |
|---|---|
| Provider Enumeration Date | 11/06/2019 |
| Last Update Date | 12/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902440597 | NPI | - | NPPES |
| 29734860 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Boondocs Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1021 N Market Plz, Pueblo West, CO 81007 Phone: 719-470-8706 | |
Generations Primary Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 E Spaulding Ave, Building 2, Suite 3, Pueblo West, CO 81007 Phone: 719-281-1605 Fax: 719-988-9677 | |
Catholic Health Initiatives Colorado Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 729 E Spaulding Ave, Pueblo West, CO 81007 Phone: 719-547-9119 Fax: 719-547-7555 | |
Dana R Bennett Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 S Crescent Dr, Pueblo West, CO 81007 Phone: 719-547-3924 Fax: 719-547-8368 | |