| Uchealth Refractory Depression Clinic Longs Peak Hospital | |
|
1760 E Ken Pratt Blvd Ste 305 Longmont CO 80504-5311 | |
| (720) 718-8310 | |
| Not Available |
| Full Name | Uchealth Refractory Depression Clinic Longs Peak Hospital |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1760 E Ken Pratt Blvd Ste 305, Longmont, Colorado |
| Authorized Official Name and Position | Jana Conroy (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9706244443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uchealth Refractory Depression Clinic Longs Peak Hospital 2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 Ph: (720) 718-8310 | Uchealth Refractory Depression Clinic Longs Peak Hospital 1760 E Ken Pratt Blvd Ste 305 Longmont CO 80504-5311 Ph: (720) 718-8310 |
| NPI Number | 1538775812 |
|---|---|
| Provider Enumeration Date | 09/22/2020 |
| Last Update Date | 09/29/2023 |
| Certification Date | 09/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538775812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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