| Southern Colorado Health Center | |
|
232 Rustling Willow St Towaoc CO 81334-0049 | |
| (970) 565-4441 | |
| (970) 565-9110 |
| Full Name | Southern Colorado Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 232 Rustling Willow St, Towaoc, Colorado |
| Authorized Official Name and Position | Earl David Ward (HEALTH CENTER DIRECTOR) |
| Authorized Official Contact | 9705654441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Colorado Health Center Po Box 49 Towaoc CO 81334-0049 Ph: (970) 565-4441 | Southern Colorado Health Center 232 Rustling Willow St Towaoc CO 81334-0049 Ph: (970) 565-4441 |
| NPI Number | 1255422788 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 08/11/2010 |
| Medicare PECOS PAC ID | 2163454968 |
|---|---|
| Medicare Enrollment ID | O20050831000974 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255422788 | NPI | - | NPPES |
| 05600002 | Medicaid | CO | |
| 700000000009 | Medicaid | UT | |
| 708000 | Medicaid | AZ | |
| G7123 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |
| Provider Name | Anne-marie C Leventis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821018391 PECOS PAC ID: 1759289085 Enrollment ID: I20031223000773 |
| Provider Name | Kimberely D Vega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427098995 PECOS PAC ID: 6305851346 Enrollment ID: I20060213000787 |
| Provider Name | Gwendolyn Grant |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1841395357 PECOS PAC ID: 5597762633 Enrollment ID: I20061106000579 |
| Provider Name | Lori Raney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639114515 PECOS PAC ID: 5698774966 Enrollment ID: I20081215000119 |
| Provider Name | Elizabeth J Helms |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1144293010 PECOS PAC ID: 7618873902 Enrollment ID: I20090116000218 |
| Provider Name | William M Finn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982616470 PECOS PAC ID: 0840337622 Enrollment ID: I20091027000793 |
| Provider Name | Matthew A. Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215993308 PECOS PAC ID: 4385782432 Enrollment ID: I20091110000274 |
| Provider Name | Trina Bancroft-begay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689613580 PECOS PAC ID: 6709072598 Enrollment ID: I20101118000974 |
| Provider Name | Terry R Cook |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285636449 PECOS PAC ID: 2062404023 Enrollment ID: I20120402000050 |
| Provider Name | Kimberly Starnes-parr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417012014 PECOS PAC ID: 3476688243 Enrollment ID: I20120606000084 |
| Provider Name | Benjamin W Carelock |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992949481 PECOS PAC ID: 0840434270 Enrollment ID: I20140130000459 |
| Provider Name | Dennis M Beaufait |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538277058 PECOS PAC ID: 6507834389 Enrollment ID: I20190508000230 |
| Provider Name | Melissa J Churchill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396875704 PECOS PAC ID: 2264699446 Enrollment ID: I20200724000020 |
Indian Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rustling Willow, Complex D, Towaoc, CO 81334 Phone: 970-565-4441 Fax: 970-565-3578 | |
Ute Mountatin Ute Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 232 Rustling Willow Street, Comples D, Towaoc, CO 81334 Phone: 970-565-4441 Fax: 970-565-9163 | |
White Mesa Health Station Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 232 Rustling Willow St, Towaoc, CO 81334 Phone: 970-565-4441 Fax: 970-565-9110 |