| Roaring Fork Neurology, P.c. | |
| 
					350 Market St Unit 1 Basalt CO 81621-7410  | |
| (970) 927-1141 | |
| (970) 422-7123 | 
| Full Name | Roaring Fork Neurology, P.c. | 
|---|---|
| Speciality | Psychiatry & Neurology | 
| Location | 350 Market St Unit 1, Basalt, Colorado | 
| Authorized Official Name and Position | Alison Bible Allen (PRESIDENT) | 
| Authorized Official Contact | 9709271141 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Roaring Fork Neurology, P.c. 350 Market St Unit 1 Basalt CO 81621-7410 Ph: (970) 379-0452  | Roaring Fork Neurology, P.c. 350 Market St Unit 1 Basalt CO 81621-7410 Ph: (970) 927-1141  | 
| NPI Number | 1417279597 | 
|---|---|
| Provider Enumeration Date | 02/17/2010 | 
| Last Update Date | 07/13/2023 | 
| Certification Date | 12/08/2022 | 
| Medicare PECOS PAC ID | 1557494846 | 
|---|---|
| Medicare Enrollment ID | O20100806000816 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417279597 | NPI | - | NPPES | 
| 48812 | Other | CO | CO MED LIC | 
| 1285780874 | Other | CO | INDIVIDUAL NPI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 48812 (Colorado) | Primary | 
| Provider Name | Alison Allen | 
|---|---|
| Provider Type | Practitioner - Neuropsychiatry | 
| Provider Identifiers | NPI Number: 1285780874 PECOS PAC ID: 2466585757 Enrollment ID: I20100806000824  | 
Elk Family Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Alexander Ln, Basalt, CO 81621 Phone: 970-927-0556  | |
Valley View Hospital Association Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Market St Unit 201, Basalt, CO 81621 Phone: 970-384-7144 Fax: 970-384-8115  | |
Colorado West Regional Mental Health Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Cody Ln, Basalt, CO 81621 Phone: 970-241-6023  | |
Sodawellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 174 Midland Ave, Basalt, CO 81621 Phone: 303-489-0420  | |
Extreme Sports Camp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23286 Two Rivers Rd, Suite 24-a, Basalt, CO 81621 Phone: 970-927-3143  | |
Aspen Hope Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 Midland Ave Ste 15b, Basalt, CO 81621 Phone: 970-925-5858  |