Rangely Family Medicine | |
225 Eagle Crest Dr Rangely CO 81648-2104 | |
(970) 675-5011 | |
Not Available |
Full Name | Rangely Family Medicine |
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Speciality | Clinic/Center |
Location | 225 Eagle Crest Dr, Rangely, Colorado |
Authorized Official Name and Position | Kyle Wren (CEO) |
Authorized Official Contact | 9706754219 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rangely Family Medicine 225 Eagle Crest Dr Rangely CO 81648-2104 Ph: (970) 675-4253 | Rangely Family Medicine 225 Eagle Crest Dr Rangely CO 81648-2104 Ph: (970) 675-5011 |
NPI Number | 1144811415 |
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Provider Enumeration Date | 01/29/2021 |
Last Update Date | 12/10/2021 |
Medicare PECOS PAC ID | 6103714175 |
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Medicare Enrollment ID | O20210713004059 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144811415 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Rangely Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 225 Eagle Crest Drive, Rangely, CO 81648 Phone: 970-675-5011 |