| Prbt Pc Berthoud | |
|
549 Mountain Ave Berthoud CO 80513-5000 | |
| (303) 651-5100 | |
| (970) 532-0608 |
| Full Name | Prbt Pc Berthoud |
|---|---|
| Speciality | Family Medicine |
| Location | 549 Mountain Ave, Berthoud, Colorado |
| Authorized Official Name and Position | Angela J Skinner (ADMINISTRATOR, OMA) |
| Authorized Official Contact | 3036737175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prbt Pc Berthoud Po Box 800022 Kansas City MO 64180-0022 Ph: (800) 953-0104 | Prbt Pc Berthoud 549 Mountain Ave Berthoud CO 80513-5000 Ph: (303) 651-5100 |
| NPI Number | 1144831025 |
|---|---|
| Provider Enumeration Date | 08/13/2020 |
| Last Update Date | 06/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144831025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Banner Health Physicians Colorado Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 10th St, Berthoud, CO 80513 Phone: 970-532-4910 | |
United Medical Center Of Berthoud Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 549 Mountain Avenue, Berthoud, CO 80513 Phone: 970-532-4644 Fax: 970-532-0608 |