| |
6908 Mesa Ridge Pkwy Fountain CO 80817-1533 | |
(719) 471-2273 | |
(719) 380-0228 |
Full Name | |
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Speciality | Clinic/center - Urgent Care |
Location | 6908 Mesa Ridge Pkwy, Fountain, Colorado |
Authorized Official Name and Position | Anita Wiescamp (OWNER) |
Authorized Official Contact | 7195100957 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5799 Stetson Hills Blvd Colorado Springs CO 80917-4223 Ph: (719) 471-2273 | 6908 Mesa Ridge Pkwy Fountain CO 80817-1533 Ph: (719) 471-2273 |
NPI Number | 1306269261 |
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Provider Enumeration Date | 01/29/2014 |
Last Update Date | 08/30/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306269261 | NPI | - | NPPES |
07489871 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 49109 (Colorado) | Secondary |
261QU0200X | Clinic/center - Urgent Care | 49109 (Colorado) | Primary |
Comfort Care Family Practice, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6908 Mesa Ridge Pkwy, Fountain, CO 80817 Phone: 719-471-2273 Fax: 719-380-0228 | |