| Rocky Ford Family Health Center Llc | |
|
1014 Elm Ave Rocky Ford CO 81067-1328 | |
| (719) 254-7421 | |
| (719) 254-6966 |
| Full Name | Rocky Ford Family Health Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1014 Elm Ave, Rocky Ford, Colorado |
| Authorized Official Name and Position | Terry L Miller (BUSINESS MANAGER) |
| Authorized Official Contact | 7192547421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Ford Family Health Center Llc 1014 Elm Ave Rocky Ford CO 81067-1328 Ph: (719) 254-7421 | Rocky Ford Family Health Center Llc 1014 Elm Ave Rocky Ford CO 81067-1328 Ph: (719) 254-7421 |
| NPI Number | 1508932757 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 03/17/2016 |
| Medicare PECOS PAC ID | 6002726114 |
|---|---|
| Medicare Enrollment ID | O20040313000798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508932757 | NPI | - | NPPES |
| 70077371 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Douglas D Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902899073 PECOS PAC ID: 4385533678 Enrollment ID: I20101007000055 |
| Provider Name | Heather A Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003233479 PECOS PAC ID: 3476773987 Enrollment ID: I20141006000984 |
Harris Pharmacy Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 309 N Main St, Rocky Ford, CO 81067 Phone: 719-254-3337 Fax: 719-254-7311 | |
Valley-wide Counseling & Support Center- Rocky Ford Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 N Main St, Rocky Ford, CO 81067 Phone: 719-254-7623 | |
James M Satt Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1016 Elm Ave, Rocky Ford, CO 81067 Phone: 719-254-7381 Fax: 719-254-3030 | |
Radiant Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1014 Elm Ave, Rocky Ford, CO 81067 Phone: 719-254-7421 |