| Penrose St. Francis | |
|
218 E Cache La Poudre St Colorado Springs CO 80903-2903 | |
| (719) 520-1711 | |
| (719) 520-0236 |
| Full Name | Penrose St. Francis |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 218 E Cache La Poudre St, Colorado Springs, Colorado |
| Authorized Official Name and Position | Diane George Buscarello (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7195201711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penrose St. Francis 218 E Cache La Poudre St Colorado Springs CO 80903-2903 Ph: (719) 520-1711 | Penrose St. Francis 218 E Cache La Poudre St Colorado Springs CO 80903-2903 Ph: (719) 520-1711 |
| NPI Number | 1467599506 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467599506 | NPI | - | NPPES |
| 070498 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 263 (Colorado) | Primary |
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