| Cottonwood Holistic Family Health | |
|
3600 Main Ave Suite C Durango CO 81301-4031 | |
| (970) 259-7171 | |
| (970) 259-7176 |
| Full Name | Cottonwood Holistic Family Health |
|---|---|
| Speciality | Family Medicine |
| Location | 3600 Main Ave, Durango, Colorado |
| Authorized Official Name and Position | Suzanne Renee Ciotti (SECRETARY PHYSICIAN) |
| Authorized Official Contact | 9702597171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cottonwood Holistic Family Health 3600 Main Ave Suite C Durango CO 81301-4031 Ph: (970) 259-7171 | Cottonwood Holistic Family Health 3600 Main Ave Suite C Durango CO 81301-4031 Ph: (970) 259-7171 |
| NPI Number | 1285723890 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 11/19/2008 |
| Medicare PECOS PAC ID | 9133141344 |
|---|---|
| Medicare Enrollment ID | O20051230000290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285723890 | NPI | - | NPPES |
| 01356062 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph R Ciotti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346341120 PECOS PAC ID: 8022080878 Enrollment ID: I20040811000882 |
| Provider Name | Cara Lee Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649793175 PECOS PAC ID: 8527334192 Enrollment ID: I20240307000396 |
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