| Healthnet Ltd | |
|
1705 N Greenwood St Apt 2 Pueblo CO 81003-2645 | |
| (626) 290-1666 | |
| Not Available |
| Full Name | Healthnet Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 1705 N Greenwood St Apt 2, Pueblo, Colorado |
| Authorized Official Name and Position | Xiao Song (PRESIDENT) |
| Authorized Official Contact | 6262901666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthnet Ltd 1705 N Greenwood St Apt 2 Pueblo CO 81003-2645 Ph: (626) 290-1666 | Healthnet Ltd 1705 N Greenwood St Apt 2 Pueblo CO 81003-2645 Ph: (626) 290-1666 |
| NPI Number | 1265257653 |
|---|---|
| Provider Enumeration Date | 11/20/2024 |
| Last Update Date | 11/20/2024 |
| Medicare PECOS PAC ID | 0547798456 |
|---|---|
| Medicare Enrollment ID | O20250106002442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265257653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Xiao Song |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1699392449 PECOS PAC ID: 6901255124 Enrollment ID: I20250106002645 |
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