South Pointe Occupational Medicine And Family Practice Llc | |
150 Old Laramie Trail Suite 210 Lafayette CO 80026-7085 | |
(970) 351-3030 | |
Not Available |
Full Name | South Pointe Occupational Medicine And Family Practice Llc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 150 Old Laramie Trail, Lafayette, Colorado |
Authorized Official Name and Position | Tara Campbell (MANAGER) |
Authorized Official Contact | 9703512412 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
South Pointe Occupational Medicine And Family Practice Llc 150 Old Laramie Trail Suite 210 Lafayette CO 80026-7085 Ph: (970) 351-3030 | South Pointe Occupational Medicine And Family Practice Llc 150 Old Laramie Trail Suite 210 Lafayette CO 80026-7085 Ph: (970) 351-3030 |
NPI Number | 1396052544 |
---|---|
Provider Enumeration Date | 09/09/2010 |
Last Update Date | 04/08/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396052544 | NPI | - | NPPES |
01320688 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 32068 (Colorado) | Primary |
261QX0100X | Clinic/center - Occupational Medicine | 32068 (Colorado) | Secondary |
Banner Greeley Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Exempla Cir, Suite 200, Lafayette, CO 80026 Phone: 970-378-4433 | |