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1039 Main St Unit G Windsor CO 80550-4847 | |
(970) 378-7740 | |
(970) 561-7159 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1039 Main St Unit G, Windsor, 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 |
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2930 11th Ave Evans CO 80620-1011 Ph: (970) 350-4606 | 1039 Main St Unit G Windsor CO 80550-4847 Ph: (970) 378-7740 |
NPI Number | 1285372334 |
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Provider Enumeration Date | 05/26/2022 |
Last Update Date | 06/15/2023 |
Medicare PECOS PAC ID | 0648164780 |
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Medicare Enrollment ID | O20230304000063 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285372334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Vmd Primary Providers Colorado, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1683 Main St, Windsor, CO 80550 Phone: 970-686-0124 Fax: 970-686-0845 | |
Banner Health Physicians Colorado Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8201 Spinnaker Bay Dr Ste D, Windsor, CO 80528 Phone: 970-223-2272 Fax: 970-223-1304 | |
Noco Newco, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Main St, Windsor, CO 80550 Phone: 970-686-5646 |