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822 W 4th St Leadville CO 80461-3861 | |
(719) 486-1264 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 822 W 4th St, Leadville, Colorado |
Authorized Official Name and Position | Natalie Vogan (ASSOCIATE DIRECTOR OF PROGRAMS) |
Authorized Official Contact | 7204343556 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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822 W 4th St Leadville CO 80461-3861 Ph: () - | 822 W 4th St Leadville CO 80461-3861 Ph: (719) 486-1264 |
NPI Number | 1467047183 |
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Provider Enumeration Date | 03/04/2021 |
Last Update Date | 08/27/2024 |
Medicare PECOS PAC ID | 4587574884 |
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Medicare Enrollment ID | O20200922001566 |
Identifier | Type | State | Issuer |
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1467047183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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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 |