Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 602 Hunt Ave, Alamosa, Colorado |
Authorized Official Name and Position | Javier Martinez (CFO) |
Authorized Official Contact | 7195871083 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
128 Market St Alamosa CO 81101-2290 Ph: (719) 587-1001 | 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 |
Medicare PECOS PAC ID | 5991609067 |
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Medicare Enrollment ID | O20240628000624 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265291165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Children's Hospital Colorado Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Blanca Ave, Alamosa, CO 81101 Phone: 719-589-2511 | |
Valley-wide Health System, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 Adcock Dr, Alamosa, CO 81101 Phone: 833-350-1113 | |
Rocky Mountain Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3324 Clark St, Alamosa, CO 81101 Phone: 970-493-9193 | |