| Ryon Medical & Associates, Llc | |
|
318 Lacey Ave La Junta CO 81050-2039 | |
| (719) 384-0303 | |
| (719) 384-1033 |
| Full Name | Ryon Medical & Associates, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 318 Lacey Ave, La Junta, Colorado |
| Authorized Official Name and Position | Kevin Harsh (CEO/CMO) |
| Authorized Official Contact | 7193840303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryon Medical & Associates, Llc Po Box 497 La Junta CO 81050-0497 Ph: (719) 384-0303 | Ryon Medical & Associates, Llc 318 Lacey Ave La Junta CO 81050-2039 Ph: (719) 384-0303 |
| NPI Number | 1861753931 |
|---|---|
| Provider Enumeration Date | 06/05/2012 |
| Last Update Date | 01/09/2020 |
| Certification Date | 01/09/2020 |
| Medicare PECOS PAC ID | 3577714294 |
|---|---|
| Medicare Enrollment ID | O20121106000306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861753931 | NPI | - | NPPES |
| 29854075 | Medicaid | CO |
| Provider Name | Oswaldo A Grenardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609924836 PECOS PAC ID: 4688721053 Enrollment ID: I20090422000348 |
| Provider Name | Kevin R Harsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639450356 PECOS PAC ID: 5395998397 Enrollment ID: I20121226000059 |
| Provider Name | Sandra Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528498045 PECOS PAC ID: 8123326881 Enrollment ID: I20160413000108 |
| Provider Name | Meryl W Dohrmann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033397351 PECOS PAC ID: 4082945654 Enrollment ID: I20191011002035 |
Southeast Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 613 Barnes Ave, La Junta, CO 81050 Phone: 719-384-5446 Fax: 719-384-5672 | |
Ark Valley Counseling & Supervision Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 24600 County Road 21, La Junta, CO 81050 Phone: 719-469-2670 | |
Ark Valley Counseling & Supervision Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 W 3rd St Ste 203, La Junta, CO 81050 Phone: 719-469-2670 | |
Divine Health Group Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1206 E 3rd St, La Junta, CO 81050 Phone: 719-413-5261 | |
Valley Community Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 W 3rd Street Lincoln Square Professional Building, Suite 204, La Junta, CO 81050 Phone: 719-469-0799 | |
Single Point Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Barnes Ave, La Junta, CO 81050 Phone: 719-384-8503 Fax: 719-384-8411 | |
Valley-wide Health Systems, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 Barnes, La Junta, CO 81050 Phone: 719-384-5446 |