| Greeley Medical Clinic | |
|
1900 16th St Greeley CO 80631-5114 | |
| (970) 353-1551 | |
| Not Available |
| Full Name | Greeley Medical Clinic |
|---|---|
| Speciality | General Practice |
| Location | 1900 16th St, Greeley, Colorado |
| Authorized Official Name and Position | Linda Stone (CREDENTIALING) |
| Authorized Official Contact | 9703502416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greeley Medical Clinic 1900 16th St Greeley CO 80631-5114 Ph: (970) 353-1551 | Greeley Medical Clinic 1900 16th St Greeley CO 80631-5114 Ph: (970) 353-1551 |
| NPI Number | 1336124700 |
|---|---|
| Provider Enumeration Date | 12/08/2005 |
| Last Update Date | 10/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336124700 | NPI | - | NPPES |
| 04560082 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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