Skylight Health Group Co Llc | |
3100 N Academy Blvd Ste 211 Colorado Springs CO 80917-5332 | |
(719) 301-7162 | |
Not Available |
Full Name | Skylight Health Group Co Llc |
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Speciality | Clinic/Center |
Location | 3100 N Academy Blvd Ste 211, Colorado Springs, Colorado |
Authorized Official Name and Position | Stephanie Gluchacki (SVP COMPLIANCE) |
Authorized Official Contact | 5086899706 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Skylight Health Group Co Llc 82 Hartwell St Unit 2 Fall River MA 02721-3025 Ph: (150) 868-9970 | Skylight Health Group Co Llc 3100 N Academy Blvd Ste 211 Colorado Springs CO 80917-5332 Ph: (719) 301-7162 |
NPI Number | 1376114769 |
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Provider Enumeration Date | 07/07/2021 |
Last Update Date | 04/15/2022 |
Medicare PECOS PAC ID | 1052700440 |
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Medicare Enrollment ID | O20211104002145 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376114769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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