| Trucare Elevated Wellness | |
|
220 East Ave Rifle CO 81650-2332 | |
| (970) 625-5521 | |
| (949) 862-8886 |
| Full Name | Trucare Elevated Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 220 East Ave, Rifle, Colorado |
| Authorized Official Name and Position | Courtney A Morgan (PRACTICE MANAGER) |
| Authorized Official Contact | 9706255521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trucare Elevated Wellness 220 East Ave Rifle CO 81650-2332 Ph: (970) 625-5521 | Trucare Elevated Wellness 220 East Ave Rifle CO 81650-2332 Ph: (970) 625-5521 |
| NPI Number | 1891428777 |
|---|---|
| Provider Enumeration Date | 07/07/2022 |
| Last Update Date | 06/28/2023 |
| Medicare PECOS PAC ID | 1850775370 |
|---|---|
| Medicare Enrollment ID | O20220901002329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891428777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Trumon Otto Craft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033675004 PECOS PAC ID: 3173954617 Enrollment ID: I20200515002000 |
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