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1460 E Valley Rd 104 Basalt CO 81621-8411 | |
(970) 384-8447 | |
(970) 384-8480 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1460 E Valley Rd, Basalt, Colorado |
Authorized Official Name and Position | Kirk Douglas Hartley (CLINICAL DIRECTOR) |
Authorized Official Contact | 9709274950 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1460 E Valley Rd 104 Basalt CO 81621-8411 Ph: (970) 927-4950 | 1460 E Valley Rd 104 Basalt CO 81621-8411 Ph: (970) 384-8447 |
NPI Number | 1093945685 |
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Provider Enumeration Date | 07/17/2009 |
Last Update Date | 12/13/2024 |
Medicare PECOS PAC ID | 2365818192 |
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Medicare Enrollment ID | O20221020000075 |
Identifier | Type | State | Issuer |
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1093945685 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | John Cleveland Hughes |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1700084233 PECOS PAC ID: 6507180387 Enrollment ID: I20150127001796 |
Provider Name | Stephanie Christine Karozos |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932586336 PECOS PAC ID: 7214243450 Enrollment ID: I20180629000130 |
Mountain Family Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Southside Dr, Basalt, CO 81621 Phone: 970-945-2840 | |
Mountain Family Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 Cottonwood Dr, Basalt, CO 81621 Phone: 970-945-2840 Fax: 970-945-2893 | |
Alpine Medical Group Of The Roaring Fork Valley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 E Valley Rd, Suite 101, Basalt, CO 81621 Phone: 970-927-6101 Fax: 970-927-6888 |