| Basalt Elementary School | |
|
151 Cottonwood Dr Basalt CO 81621-8345 | |
| (970) 364-6069 | |
| Not Available |
| Full Name | Basalt Elementary School |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 151 Cottonwood Dr, Basalt, Colorado |
| Authorized Official Name and Position | Barbara Tafoya (FINANCE ADMINISTRATOR) |
| Authorized Official Contact | 3038692173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Basalt Elementary School 9197 Grant St Ste 100 Thornton CO 80229-4331 Ph: (303) 869-2173 | Basalt Elementary School 151 Cottonwood Dr Basalt CO 81621-8345 Ph: (970) 364-6069 |
| NPI Number | 1174028252 |
|---|---|
| Provider Enumeration Date | 03/29/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174028252 | NPI | - | NPPES |
| 39800059 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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