| |
270 S 8th Ave Brighton CO 80601-2132 | |
(303) 697-2583 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 270 S 8th Ave, Brighton, Colorado |
Authorized Official Name and Position | David Madsen (CFO) |
Authorized Official Contact | 7203229405 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
203 S Rollie Ave Fort Lupton CO 80621-1508 Ph: (303) 892-6401 | 270 S 8th Ave Brighton CO 80601-2132 Ph: (303) 697-2583 |
NPI Number | 1912479155 |
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Provider Enumeration Date | 12/28/2018 |
Last Update Date | 01/25/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912479155 | NPI | - | NPPES |
9000175296 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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