| Valley-wide Support Services - Lamar | |
|
3500 1st St S Lamar CO 81052-4327 | |
| (719) 384-5446 | |
| Not Available |
| Full Name | Valley-wide Support Services - Lamar |
|---|---|
| Speciality | Clinic/Center |
| Location | 3500 1st St S, Lamar, 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 |
|---|---|
| Valley-wide Support Services - Lamar 128 Market St Alamosa CO 81101-2290 Ph: (719) 587-1001 | Valley-wide Support Services - Lamar 3500 1st St S Lamar CO 81052-4327 Ph: (719) 384-5446 |
| NPI Number | 1386359404 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 05/31/2024 |
| Medicare PECOS PAC ID | 5991609067 |
|---|---|
| Medicare Enrollment ID | O20240131000942 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386359404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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