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720 Austin Ave Suite 103 Erie CO 80516-2422 | |
(303) 828-9355 | |
(303) 828-4883 |
Full Name | |
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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 |
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720 Austin Ave Suite 103 Erie CO 80516-2422 Ph: (303) 828-9355 | 720 Austin Ave Suite 103 Erie CO 80516-2422 Ph: (303) 828-9355 |
NPI Number | 1720272297 |
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Provider Enumeration Date | 08/28/2007 |
Last Update Date | 11/06/2007 |
Medicare PECOS PAC ID | 5799674990 |
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Medicare Enrollment ID | O20040315000638 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720272297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 32971 (Colorado) | Primary |
Provider Name | John M Spine |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356471593 PECOS PAC ID: 6204725401 Enrollment ID: I20050406001226 |
Boulder Medical Center, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 89 S Briggs St Ste 105, Erie, CO 80516 Phone: 303-673-0448 | |
Valar Medical Services, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 671 Mitchell Way Ste 210, Erie, CO 80516 Phone: 720-260-4634 | |
Boulder Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Erie Pkwy Ste 201h, Erie, CO 80516 Phone: 303-442-2395 |