| Fort Morgan High School | |
|
709 E Riverview Ave Fort Morgan CO 80701-3263 | |
| (303) 697-2583 | |
| Not Available |
| Full Name | Fort Morgan High School |
|---|---|
| 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 |
|---|---|
| Fort Morgan High School 203 S Rollie Ave Fort Lupton CO 80621-1508 Ph: (303) 892-6401 | Fort Morgan High School 709 E Riverview Ave Fort Morgan CO 80701-3263 Ph: (303) 697-2583 |
| NPI Number | 1740947407 |
|---|---|
| Provider Enumeration Date | 11/17/2021 |
| Last Update Date | 01/25/2023 |
| Medicare PECOS PAC ID | 3173433398 |
|---|---|
| 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 |
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