| |
709 E Riverview Ave Fort Morgan CO 80701-3263 | |
(303) 697-2583 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 709 E Riverview Ave, Fort Morgan, Colorado |
Authorized Official Name and Position | John Santistevan (CEO) |
Authorized Official Contact | 3038926401 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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203 S Rollie Ave Fort Lupton CO 80621-1508 Ph: (303) 892-6401 | 709 E Riverview Ave Fort Morgan CO 80701-3263 Ph: (303) 697-2583 |
NPI Number | 1740947407 |
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Provider Enumeration Date | 11/17/2021 |
Last Update Date | 01/25/2023 |
Medicare PECOS PAC ID | 3173433398 |
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Medicare Enrollment ID | O20211216001288 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740947407 | NPI | - | NPPES |
9000199754 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Stephen E Godar Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 231 Prospect St, Suite A, Fort Morgan, CO 80701 Phone: 970-867-4911 | |
Fort Morgan Eye Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 Main St, Fort Morgan, CO 80701 Phone: 970-867-3046 | |
Family Practice Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 E Beaver Ave, Fort Morgan, CO 80701 Phone: 970-867-8221 Fax: 970-867-7124 |