| Alamosa Dental Clinic | |
|
128 Market St Alamosa CO 81101-2290 | |
| (719) 589-9691 | |
| (719) 587-9148 |
| Full Name | Alamosa Dental Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 128 Market St, Alamosa, Colorado |
| Authorized Official Name and Position | Jania Arnoldi (PRESIDENT/CEO) |
| Authorized Official Contact | 7195895161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alamosa Dental Clinic 128 Market St Alamosa CO 81101-2290 Ph: (195) 871-0017 | Alamosa Dental Clinic 128 Market St Alamosa CO 81101-2290 Ph: (719) 589-9691 |
| NPI Number | 1154318236 |
|---|---|
| Provider Enumeration Date | 10/04/2005 |
| Last Update Date | 05/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154318236 | NPI | - | NPPES |
| 15085031 | Medicaid | CO | |
| 80030 | Other | CO | DELTA DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Colorado) | Primary |
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