| Axis Health System | |
|
52 Village Dr Pagosa Springs CO 81147-8368 | |
| (970) 264-2104 | |
| (970) 264-2108 |
| Full Name | Axis Health System |
|---|---|
| Speciality | Clinic/Center |
| Location | 52 Village Dr, Pagosa Springs, Colorado |
| Authorized Official Name and Position | Shelly Burke (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 0000000000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Axis Health System Po Box 1328 Durango CO 81302-1328 Ph: (970) 335-2238 | Axis Health System 52 Village Dr Pagosa Springs CO 81147-8368 Ph: (970) 264-2104 |
| NPI Number | 1285255364 |
|---|---|
| Provider Enumeration Date | 04/30/2020 |
| Last Update Date | 05/27/2021 |
| Medicare PECOS PAC ID | 9133011802 |
|---|---|
| Medicare Enrollment ID | O20210816001900 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285255364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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