Slv Health Antonito Clinic | |
115 Main Street Antonito CO 81120-0087 | |
(719) 376-2308 | |
(719) 376-2395 |
Full Name | Slv Health Antonito Clinic |
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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 | Practice Location Address |
---|---|
Slv Health Antonito Clinic 19021 Us Highway 285 La Jara CO 81140 Ph: (719) 274-5121 | Slv Health Antonito Clinic 115 Main Street Antonito CO 81120-0087 Ph: (719) 376-2308 |
NPI Number | 1821057860 |
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Provider Enumeration Date | 03/20/2006 |
Last Update Date | 11/24/2020 |
Medicare PECOS PAC ID | 4789589094 |
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Medicare Enrollment ID | O20130805000712 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821057860 | NPI | - | NPPES |
93388560 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
San Luis Valley Behavioral Health Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9th & Dahlia, Aka 915 Dahlia, Antonito, CO 81120 Phone: 719-589-3671 | |
Guadalupe Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10th And Dahlia, Antonito, CO 81120 Phone: 719-376-5426 Fax: 719-376-5880 | |
Guadalupe Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10th And Dahlia, Antonito, CO 81120 Phone: 719-376-5426 Fax: 719-376-5880 | |
San Luis Valley Behavioral Health Group 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 | |
South Conejos School District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13099 County Rd G., Antonito, CO 81120 Phone: 719-376-7000 |