| Centennial School District | |
|
14644 Highway 159 San Luis CO 81152-5046 | |
| (719) 672-3322 | |
| Not Available |
| Full Name | Centennial School District |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 14644 Highway 159, San Luis, 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 |
|---|---|
| Centennial School District 128 Market St Alamosa CO 81101-2290 Ph: (719) 587-1001 | Centennial School District 14644 Highway 159 San Luis CO 81152-5046 Ph: (719) 672-3322 |
| NPI Number | 1245941582 |
|---|---|
| Provider Enumeration Date | 12/07/2022 |
| Last Update Date | 05/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245941582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
San Luis Rehab & Pt Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Unit 1 B At 233 Main Street, Suite 2, San Luis, CO 81152 Phone: 719-672-3352 Fax: 719-672-3638 | |
San Luis Valley Behavioral Health Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Trinchera St, San Luis, CO 81152 Phone: 719-589-3671 | |
San Luis Valley Behavioral Health Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Trinchera, San Luis, CO 81152 Phone: 719-589-3671 |