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1000 W 4th St Leadville CO 80461-3800 | |
(970) 668-4040 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1000 W 4th St, Leadville, Colorado |
Authorized Official Name and Position | Josh Cogdill (CEO) |
Authorized Official Contact | 9706684040 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 4337 Frisco CO 80443-4337 Ph: (970) 668-4040 | 1000 W 4th St Leadville CO 80461-3800 Ph: (970) 668-4040 |
NPI Number | 1437533031 |
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Provider Enumeration Date | 07/13/2015 |
Last Update Date | 12/30/2024 |
Medicare PECOS PAC ID | 8022284074 |
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Medicare Enrollment ID | O20160217001484 |
Identifier | Type | State | Issuer |
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1437533031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (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 |