| Enrichment And Counseling Center | |
|
3207 N Academy Blvd Ste 100 Colorado Springs CO 80917-5117 | |
| (719) 632-5700 | |
| Not Available |
| Full Name | Enrichment And Counseling Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3207 N Academy Blvd Ste 100, Colorado Springs, Colorado |
| Authorized Official Name and Position | Ryan Spillane (INTERIM CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7193447135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enrichment And Counseling Center 3205 N Academy Blvd Ste 130 Colorado Springs CO 80917-5152 Ph: (719) 632-5700 | Enrichment And Counseling Center 3207 N Academy Blvd Ste 100 Colorado Springs CO 80917-5117 Ph: (719) 632-5700 |
| NPI Number | 1720696578 |
|---|---|
| Provider Enumeration Date | 07/17/2020 |
| Last Update Date | 01/30/2023 |
| Medicare PECOS PAC ID | 4688583974 |
|---|---|
| Medicare Enrollment ID | O20200821001626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720696578 | NPI | - | NPPES |
| 05638267 | Medicaid | CO | |
| 9000186598 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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