Full Name | |
---|---|
Speciality | Preventive Medicine |
Location | 11 Salvation Circle, Aspen, Colorado |
Authorized Official Name and Position | Jonathan Marenus (GENERAL COUNSEL) |
Authorized Official Contact | 8332498777 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1550 Wewatta St Ste 3141 Denver CO 80202-6299 Ph: () - | 11 Salvation Circle Aspen CO 81611 Ph: (833) 249-8777 |
NPI Number | 1790395002 |
---|---|
Provider Enumeration Date | 08/03/2020 |
Last Update Date | 08/18/2022 |
Medicare PECOS PAC ID | 3274066865 |
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Medicare Enrollment ID | O20241105000740 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790395002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
2083X0100X | Preventive Medicine - Occupational Medicine | (* (Not Available)) | Primary |
Provider Name | Robert C Porter |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1871621144 PECOS PAC ID: 9032187349 Enrollment ID: I20241105001099 |
Aspen Medical Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Founders Pl, Suite 109, Aspen, CO 81611 Phone: 970-920-0104 Fax: 970-920-0124 | |
Valley View Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 W Main St Ste A, Aspen, CO 81611 Phone: 970-384-7510 Fax: 970-384-7511 | |
Paula Kadison, Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 E Main St Ste 2, Aspen, CO 81611 Phone: 970-379-1240 Fax: 970-925-2597 | |
Valley View Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 W Main St Ste A, Aspen, CO 81611 Phone: 970-384-7510 Fax: 970-384-7511 |