| Starlight Health, Pllc | |
|
313 W Drake Rd Fort Collins CO 80526-2846 | |
| (970) 632-0135 | |
| Not Available |
| Full Name | Starlight Health, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 313 W Drake Rd, Fort Collins, Colorado |
| Authorized Official Name and Position | Jason Rogers (PRESIDENT) |
| Authorized Official Contact | 9706320135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Starlight Health, Pllc 313 W Drake Rd Fort Collins CO 80526-2846 Ph: () - | Starlight Health, Pllc 313 W Drake Rd Fort Collins CO 80526-2846 Ph: (970) 632-0135 |
| NPI Number | 1023714094 |
|---|---|
| Provider Enumeration Date | 02/01/2023 |
| Last Update Date | 01/10/2024 |
| Medicare PECOS PAC ID | 9537512884 |
|---|---|
| Medicare Enrollment ID | O20240202000628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023714094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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