Uncompahgre Family Medicine Pc | |
535 S Nevada Ave Montrose CO 81401 | |
(970) 252-9165 | |
(970) 252-8874 |
Full Name | Uncompahgre Family Medicine Pc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 535 S Nevada Ave, Montrose, Colorado |
Authorized Official Name and Position | Timothy Wayne Sullinger (PRESIDENT) |
Authorized Official Contact | 9702529165 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Uncompahgre Family Medicine Pc 535 S Nevada Ave Montrose CO 81401 Ph: (970) 252-9165 | Uncompahgre Family Medicine Pc 535 S Nevada Ave Montrose CO 81401 Ph: (970) 252-9165 |
NPI Number | 1881788537 |
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Provider Enumeration Date | 10/03/2006 |
Last Update Date | 07/30/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881788537 | NPI | - | NPPES |
DG4940 | Other | RAILROAD MEDICARE | |
81957823 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 39301 (Colorado) | Primary |
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