<unavail> in Antonito, CO - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Antonito, Colorado. The current practice location for is 115 Main Street, Antonito, Colorado. For appointments, you can reach them via phone at (719) 376-2308. The mailing address for is 19021 Us Highway 285, La Jara, Colorado and phone number is (719) 274-5121.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1821057860. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (719) 376-2308.

Contact Information


	115 Main Street Antonito CO 81120-0087
	(719) 376-2308
	(719) 376-2395

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	115 Main Street, Antonito, Colorado
Authorized Official Name and Position	Konnie L. Martin (CCH CEO)
Authorized Official Contact	7195871206
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
19021 Us Highway 285 La Jara CO 81140 Ph: (719) 274-5121	115 Main Street Antonito CO 81120-0087 Ph: (719) 376-2308

NPI Details:

NPI Number	1821057860
Provider Enumeration Date	03/20/2006
Last Update Date	11/24/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	4789589094
Medicare Enrollment ID	O20130805000712

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821057860	NPI	-	NPPES
93388560	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Antonito, CO

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9th & Dahlia, Aka 915 Dahlia, Antonito, CO 81120 Phone: 719-589-3671
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10th And Dahlia, Antonito, CO 81120 Phone: 719-376-5426 Fax: 719-376-5880
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10th And Dahlia, Antonito, CO 81120 Phone: 719-376-5426 Fax: 719-376-5880
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9th & Dahlia, Aka 915 Dahlia, Antonito, CO 81120 Phone: 719-589-3671
Conejos County Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Main Street, Antonito, CO 81120 Phone: 719-376-2308 Fax: 719-376-2395
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13099 County Rd G., Antonito, CO 81120 Phone: 719-376-7000

- Medicare Primary Care in Antonito, CO