| Banner Health Clinic Fort Morgan | |
|
909 E Railroad Ave Fort Morgan CO 80701-3301 | |
| (970) 542-4700 | |
| (970) 542-4710 |
| Full Name | Banner Health Clinic Fort Morgan |
|---|---|
| Speciality | Clinic/Center |
| Location | 909 E Railroad Ave, Fort Morgan, Colorado |
| Authorized Official Name and Position | Dennis Laraway (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Health Clinic Fort Morgan 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Health Clinic Fort Morgan 909 E Railroad Ave Fort Morgan CO 80701-3301 Ph: (970) 542-4700 |
| NPI Number | 1003327107 |
|---|---|
| Provider Enumeration Date | 10/16/2017 |
| Last Update Date | 12/10/2021 |
| Medicare PECOS PAC ID | 3274443577 |
|---|---|
| Medicare Enrollment ID | O20171130002446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003327107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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