| |
822 W 4th St Leadville CO 80461-3861 | |
(719) 486-1264 | |
(719) 486-7145 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 822 W 4th St, Leadville, Colorado |
Authorized Official Name and Position | Andrew Dreesen (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 7194867161 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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822 W. 4th Street Leadville CO 80461-3897 Ph: (719) 486-0230 | 822 W 4th St Leadville CO 80461-3861 Ph: (719) 486-1264 |
NPI Number | 1093135063 |
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Provider Enumeration Date | 04/17/2014 |
Last Update Date | 08/27/2024 |
Identifier | Type | State | Issuer |
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1093135063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Rocky Mountain Family Practice Of Leadville Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 735 Us Highway 24, Leadville, CO 80461 Phone: 719-486-0500 Fax: 719-486-3966 |