| San Luis Rehab & Pt Services | |
|
Unit 1 B At 233 Main Street Suite 2 San Luis CO 81152-0328 | |
| (719) 672-3352 | |
| (719) 672-3638 |
| Full Name | San Luis Rehab & Pt Services |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | Unit 1 B At 233 Main Street, San Luis, Colorado |
| Authorized Official Name and Position | Jania Arnoldi (PRESIDENT/CEO) |
| Authorized Official Contact | 7195895161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Luis Rehab & Pt Services 128 Market St Alamosa CO 81101-2290 Ph: (719) 587-1001 | San Luis Rehab & Pt Services Unit 1 B At 233 Main Street Suite 2 San Luis CO 81152-0328 Ph: (719) 672-3352 |
| NPI Number | 1003899022 |
|---|---|
| Provider Enumeration Date | 11/23/2005 |
| Last Update Date | 05/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003899022 | NPI | - | NPPES |
| VAC 4808 | Other | CO | ANTHEM BCBS |
| CE 9669 | Other | CO | TRAVELERS MEDICARE |
| 13984772 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Colorado) | Primary |
| 261QR0400X | Clinic/center - Rehabilitation | (Colorado) | Secondary |
Centennial School District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14644 Highway 159, San Luis, CO 81152 Phone: 719-672-3322 | |
San Luis Valley Behavioral Health Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Trinchera St, San Luis, CO 81152 Phone: 719-589-3671 | |
San Luis Valley Behavioral Health Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Trinchera, San Luis, CO 81152 Phone: 719-589-3671 |