| Lake County Intermediate Sbhc | |
|
1000 W 6th St Leadville CO 80461-3890 | |
| (970) 668-4040 | |
| Not Available |
| Full Name | Lake County Intermediate Sbhc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1000 W 6th St, Leadville, Colorado |
| Authorized Official Name and Position | Lori Bowman (CREDENTIALING) |
| Authorized Official Contact | 9702311294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake County Intermediate Sbhc Po Box 4337 Frisco CO 80443-4337 Ph: (970) 668-4040 | Lake County Intermediate Sbhc 1000 W 6th St Leadville CO 80461-3890 Ph: (970) 668-4040 |
| NPI Number | 1619522430 |
|---|---|
| Provider Enumeration Date | 08/08/2019 |
| Last Update Date | 06/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619522430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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