| Solvista Health Corp. | |
|
3225 Independence Rd Canon City CO 81212-9380 | |
| (719) 275-2351 | |
| Not Available |
| Full Name | Solvista Health Corp. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3225 Independence Rd, Canon City, Colorado |
| Authorized Official Name and Position | Mandy Jo Kaisner (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7192752351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Solvista Health Corp. 3225 Independence Rd Canon City CO 81212-9380 Ph: (719) 275-2351 | Solvista Health Corp. 3225 Independence Rd Canon City CO 81212-9380 Ph: (719) 275-2351 |
| NPI Number | 1255734117 |
|---|---|
| Provider Enumeration Date | 10/06/2014 |
| Last Update Date | 05/10/2024 |
| Medicare PECOS PAC ID | 2567764780 |
|---|---|
| Medicare Enrollment ID | O20160105002452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255734117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Colorado) | Primary |
| Provider Name | William S Gogarty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871576694 PECOS PAC ID: 9436211257 Enrollment ID: I20090102000227 |
| Provider Name | Ross P Ledgerwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699079798 PECOS PAC ID: 7719168020 Enrollment ID: I20160126002309 |
| Provider Name | Robin Bangasser Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235612185 PECOS PAC ID: 9436401742 Enrollment ID: I20181016000502 |
| Provider Name | Jennifer Sherburne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992255871 PECOS PAC ID: 8426315995 Enrollment ID: I20211207001014 |
Desert River Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 712 Macon Ave, Canon City, CO 81212 Phone: 719-285-8890 | |
Ncaldwell Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1338 Phay Ave, Canon City, CO 81212 Phone: 702-453-3799 Fax: 702-453-5741 | |
James F. Reppert, M.d. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1335 Phay Ave Ste A, Canon City, CO 81212 Phone: 719-275-4151 Fax: 719-275-3743 | |
Colorado Mountain Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 S 7th St Ste 112, Canon City, CO 81212 Phone: 719-299-0988 | |
Rocky Mountain Clinics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 Main St, Canon City, CO 81212 Phone: 209-309-1885 | |
Button Family Practice Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 715 South 9th Street, Canon City, CO 81212 Phone: 719-269-8820 Fax: 719-204-0230 | |
Marc A. Sindler, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 N 5th St, Canon City, CO 81212 Phone: 719-275-4137 |