| Sunrise Adelante Clinic | |
|
1010 A St Greeley CO 80631-2021 | |
| (970) 313-0400 | |
| (970) 313-0404 |
| Full Name | Sunrise Adelante Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1010 A St, Greeley, Colorado |
| Authorized Official Name and Position | Cathy Wolff (CFO) |
| Authorized Official Contact | 9703462546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Adelante Clinic 2930 11th Ave Evans CO 80620-1011 Ph: (970) 313-0400 | Sunrise Adelante Clinic 1010 A St Greeley CO 80631-2021 Ph: (970) 313-0400 |
| NPI Number | 1205236072 |
|---|---|
| Provider Enumeration Date | 08/29/2014 |
| Last Update Date | 05/29/2023 |
| Medicare PECOS PAC ID | 0648164780 |
|---|---|
| Medicare Enrollment ID | O20141020001917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205236072 | NPI | - | NPPES |
| 49227769 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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