| Children's Specialty Clinic Of San Luis Valley | |
|
10 Rupert St Monte Vista CO 81144-1042 | |
| (719) 852-3742 | |
| (719) 852-2559 |
| Full Name | Children's Specialty Clinic Of San Luis Valley |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10 Rupert St, Monte Vista, Colorado |
| Authorized Official Name and Position | Jennifer L Clutter (COO) |
| Authorized Official Contact | 7198523742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Specialty Clinic Of San Luis Valley 10 Rupert St Monte Vista CO 81144-1042 Ph: (719) 852-3742 | Children's Specialty Clinic Of San Luis Valley 10 Rupert St Monte Vista CO 81144-1042 Ph: (719) 852-3742 |
| NPI Number | 1255276200 |
|---|---|
| Provider Enumeration Date | 04/23/2026 |
| Last Update Date | 04/23/2026 |
| Certification Date | 04/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255276200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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