Spanish Peaks Outreach & Women's Clinic | |
23450 Us Highway 160 Walsenburg CO 81089-8100 | |
(719) 738-5200 | |
(719) 585-2521 |
Full Name | Spanish Peaks Outreach & Women's Clinic |
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Speciality | Clinic/Center |
Location | 23450 Us Highway 160, Walsenburg, Colorado |
Authorized Official Name and Position | Colette Martin (CFO) |
Authorized Official Contact | 7197385137 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Spanish Peaks Outreach & Women's Clinic 23500 Us Highway 160 Walsenburg CO 81089-9524 Ph: (719) 735-5144 | Spanish Peaks Outreach & Women's Clinic 23450 Us Highway 160 Walsenburg CO 81089-8100 Ph: (719) 738-5200 |
NPI Number | 1346403375 |
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Provider Enumeration Date | 07/09/2008 |
Last Update Date | 07/25/2022 |
Medicare PECOS PAC ID | 4789591769 |
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Medicare Enrollment ID | O20170215001128 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346403375 | NPI | - | NPPES |
89770129 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
261QF0050X | Clinic/center - Family Planning, Non-surgical | (* (Not Available)) | Primary |
Provider Name | Grant M Taylor |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417963349 PECOS PAC ID: 4082501242 Enrollment ID: I20040302000829 |
Provider Name | Leslie G Frederiksen |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1720015324 PECOS PAC ID: 2860474046 Enrollment ID: I20040602000683 |
Provider Name | Karen D Campbell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508889049 PECOS PAC ID: 4789607540 Enrollment ID: I20060106000463 |
Provider Name | Christopher R Dipersio |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1720050743 PECOS PAC ID: 8921997040 Enrollment ID: I20060123000300 |
Provider Name | James A Conrad |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1316983083 PECOS PAC ID: 6608879515 Enrollment ID: I20060815000310 |
Provider Name | Michael A Moll |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609884881 PECOS PAC ID: 7113057209 Enrollment ID: I20100616000713 |
Provider Name | Lori S Moll |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578572426 PECOS PAC ID: 8022148089 Enrollment ID: I20100617000640 |
Provider Name | Sandeep S Vijan |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1730220278 PECOS PAC ID: 4587755947 Enrollment ID: I20101115000469 |
Provider Name | Susan Kae Walker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972729192 PECOS PAC ID: 9739350745 Enrollment ID: I20110923000385 |
Provider Name | Regina J Griego |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710274394 PECOS PAC ID: 0446422166 Enrollment ID: I20110930000298 |
Provider Name | Heather I Cook |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1255547691 PECOS PAC ID: 2860564515 Enrollment ID: I20111013000372 |
Provider Name | Donald W Dutton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285929513 PECOS PAC ID: 3173745395 Enrollment ID: I20141103002413 |
Provider Name | Christopher J Stark |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1013936764 PECOS PAC ID: 5991703381 Enrollment ID: I20170706002288 |
Provider Name | Erin Helbing |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487182176 PECOS PAC ID: 2365718707 Enrollment ID: I20211007000315 |
Provider Name | Marilyn Doster |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891484374 PECOS PAC ID: 0941666895 Enrollment ID: I20230518001223 |
Spanish Peaks Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23400 Us Highway 160, Walsenburg, CO 81089 Phone: 719-738-4590 | |
Pueblo Community Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23540 Us Hwy 160, Walsenburg, CO 81089 Phone: 719-543-8711 Fax: 719-543-0171 | |
Rocky Mountain Clinics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 928 Russell Ave, Walsenburg, CO 81089 Phone: 866-628-7828 | |
Family Medicine Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 W 4th St, Walsenburg, CO 81089 Phone: 719-738-1164 Fax: 719-738-3399 | |
Walsenburg Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 Kansas Ave, Walsenburg, CO 81089 Phone: 719-738-2718 Fax: 719-738-2732 | |
Parkview Ancillary Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23500 Us Highway 160, Walsenburg, CO 81089 Phone: 719-738-4588 Fax: 719-738-4534 |