| Sunrise North Range | |
|
1300 N 17th Ave Greeley CO 80631-9584 | |
| (970) 353-9403 | |
| (970) 353-9906 |
| Full Name | Sunrise North Range |
|---|---|
| Speciality | Clinic/Center |
| Location | 1300 N 17th Ave, 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 North Range 2930 11th Ave Evans CO 80620-1011 Ph: (970) 353-9403 | Sunrise North Range 1300 N 17th Ave Greeley CO 80631-9584 Ph: (970) 353-9403 |
| NPI Number | 1295041598 |
|---|---|
| Provider Enumeration Date | 08/24/2010 |
| Last Update Date | 05/29/2023 |
| Medicare PECOS PAC ID | 0648164780 |
|---|---|
| Medicare Enrollment ID | O20101109000888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295041598 | NPI | - | NPPES |
| 42052556 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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