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2020 W Victory Way Craig CO 81625-3440 | |
(970) 826-8300 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 2020 W Victory Way, Craig, Colorado |
Authorized Official Name and Position | Annalia Bailey (PROVIDER RELATION COORDINATOR) |
Authorized Official Contact | 9708249411 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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750 Hospital Loop Craig CO 81625-8750 Ph: (970) 824-9411 | 2020 W Victory Way Craig CO 81625-3440 Ph: (970) 826-8300 |
NPI Number | 1609443167 |
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Provider Enumeration Date | 06/04/2021 |
Last Update Date | 03/20/2024 |
Medicare PECOS PAC ID | 1254231533 |
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Medicare Enrollment ID | O20180322000753 |
Identifier | Type | State | Issuer |
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1609443167 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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