| Mini Mrv (mobile Response Vehicle) | |
|
602 Hunt Ave Alamosa CO 81101-2680 | |
| (719) 587-1001 | |
| Not Available |
| Full Name | Mini Mrv (mobile Response Vehicle) |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 602 Hunt Ave, Alamosa, Colorado |
| Authorized Official Name and Position | Javier Martinez (CFO) |
| Authorized Official Contact | 7195871083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mini Mrv (mobile Response Vehicle) 128 Market St Alamosa CO 81101-2290 Ph: (719) 587-1001 | Mini Mrv (mobile Response Vehicle) 602 Hunt Ave Alamosa CO 81101-2680 Ph: (719) 587-1001 |
| NPI Number | 1265291165 |
|---|---|
| Provider Enumeration Date | 03/14/2024 |
| Last Update Date | 05/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265291165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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