Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 322 Walnut Street, La Jara, Colorado |
Authorized Official Name and Position | Victoria Romero (CEO) |
Authorized Official Contact | 7195893671 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
8745 County Road 9 S Alamosa CO 81101-9610 Ph: (719) 589-3671 | 322 Walnut Street La Jara CO 81140 Ph: (719) 589-3671 |
NPI Number | 1154935609 |
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Provider Enumeration Date | 09/02/2020 |
Last Update Date | 01/16/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154935609 | NPI | - | NPPES |
Conejos County Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Main Street, La Jara, CO 81140 Phone: 719-274-5000 Fax: 719-274-4111 | |
C&g Health Care Management Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 39 Calle Miller, La Jara, CO 81140 Phone: 719-274-3311 | |