| Howard Head Sports Medicine At Basalt Dme | |
|
200 Robinson St Ste D300 Basalt CO 81621-8464 | |
| (970) 476-1225 | |
| Not Available |
| Full Name | Howard Head Sports Medicine At Basalt Dme |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 200 Robinson St Ste D300, Basalt, Colorado |
| Authorized Official Name and Position | John D Higgins (CFO) |
| Authorized Official Contact | 9704797272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Howard Head Sports Medicine At Basalt Dme Po Box 840220 Kansas City MO 64184-0220 Ph: (970) 777-2850 | Howard Head Sports Medicine At Basalt Dme 200 Robinson St Ste D300 Basalt CO 81621-8464 Ph: (970) 476-1225 |
| NPI Number | 1215670625 |
|---|---|
| Provider Enumeration Date | 04/14/2022 |
| Last Update Date | 10/05/2023 |
| Medicare PECOS PAC ID | 3577475714 |
|---|---|
| Medicare Enrollment ID | O20220813000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215670625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
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