| Tri-county Medical Center, P.c. | |
|
720 Austin Ave Suite 103 Erie CO 80516-2422 | |
| (303) 828-9355 | |
| (303) 828-4883 |
| Full Name | Tri-county Medical Center, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 720 Austin Ave, Erie, Colorado |
| Authorized Official Name and Position | John Michael Spine (CEO) |
| Authorized Official Contact | 3038289355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-county Medical Center, P.c. 720 Austin Ave Suite 103 Erie CO 80516-2422 Ph: (303) 828-9355 | Tri-county Medical Center, P.c. 720 Austin Ave Suite 103 Erie CO 80516-2422 Ph: (303) 828-9355 |
| NPI Number | 1720272297 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 11/06/2007 |
| Medicare PECOS PAC ID | 5799674990 |
|---|---|
| Medicare Enrollment ID | O20040315000638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720272297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 32971 (Colorado) | Primary |
| Provider Name | John M Spine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356471593 PECOS PAC ID: 6204725401 Enrollment ID: I20050406001226 |
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