Platte Canyon Clinic | |
460 County Road 43 Suite 2 Bailey CO 80421-2503 | |
(303) 838-1166 | |
(303) 838-1124 |
Full Name | Platte Canyon Clinic |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 460 County Road 43, Bailey, Colorado |
Authorized Official Name and Position | David Myers (CEO) |
Authorized Official Contact | 3037611977 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Platte Canyon Clinic 3701 S Broadway Englewood CO 80113-3611 Ph: (303) 761-1977 | Platte Canyon Clinic 460 County Road 43 Suite 2 Bailey CO 80421-2503 Ph: (303) 838-1166 |
NPI Number | 1609031665 |
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Provider Enumeration Date | 07/18/2008 |
Last Update Date | 12/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609031665 | NPI | - | NPPES |
11033894 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 18J548 (Colorado) | Primary |