Wellspring Family Health Care | |
1136 E Stuart St Ste 3240 Fort Collins CO 80525-1196 | |
(970) 224-0754 | |
(970) 224-0757 |
Full Name | Wellspring Family Health Care |
---|---|
Speciality | Family Medicine |
Location | 1136 E Stuart St Ste 3240, Fort Collins, Colorado |
Authorized Official Name and Position | Flora Brewington (PRESIDENT) |
Authorized Official Contact | 9702240754 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wellspring Family Health Care 1136 E Stuart St Ste 3240 Fort Collins CO 80525-1196 Ph: (970) 224-0754 | Wellspring Family Health Care 1136 E Stuart St Ste 3240 Fort Collins CO 80525-1196 Ph: (970) 224-0754 |
NPI Number | 1740454909 |
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Provider Enumeration Date | 04/18/2008 |
Last Update Date | 04/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740454909 | NPI | - | NPPES |
11920246 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | CO42177 (Colorado) | Primary |
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