| Rio Grande Hospital Rural Health Clinic | |
|
310c County Road 14 Del Norte CO 81132-8719 | |
| (719) 657-2418 | |
| (719) 657-3317 |
| Full Name | Rio Grande Hospital Rural Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 310c County Road 14, Del Norte, Colorado |
| Authorized Official Name and Position | Jenny M Gallegos (ADMINISTRATION SEC/CREDENTIALING) |
| Authorized Official Contact | 7198504948 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rio Grande Hospital Rural Health Clinic 310 County Road 14 Del Norte CO 81132-8719 Ph: (719) 657-2510 | Rio Grande Hospital Rural Health Clinic 310c County Road 14 Del Norte CO 81132-8719 Ph: (719) 657-2418 |
| NPI Number | 1396832820 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 04/11/2023 |
| Medicare PECOS PAC ID | 7517951536 |
|---|---|
| Medicare Enrollment ID | O20040618000352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396832820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 06-8504 (Colorado) | Primary |
| Provider Name | Matthew Burkley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063522514 PECOS PAC ID: 5991837833 Enrollment ID: I20100713000393 |
San Luis Valley Behavioral Health Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14443 Us Highway 160, Del Norte, CO 81132 Phone: 719-589-3671 | |
Enduring Wellness Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 570 Columbia Ave, Del Norte, CO 81132 Phone: 719-849-0019 | |
San Luis Valley Behavioral Health Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14443 Us Highway 160, Del Norte, CO 81132 Phone: 719-589-3671 |