| Mfhc Basalt Middle Sbhc | |
|
51 School St Basalt CO 81621-8223 | |
| (970) 945-2840 | |
| Not Available |
| Full Name | Mfhc Basalt Middle Sbhc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 51 School St, Basalt, Colorado |
| Authorized Official Name and Position | Ross Brooks (CEO) |
| Authorized Official Contact | 9709281609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mfhc Basalt Middle Sbhc 2700 Gilstrap Ct Ste 100 Glenwood Springs CO 81601-8735 Ph: (970) 945-2840 | Mfhc Basalt Middle Sbhc 51 School St Basalt CO 81621-8223 Ph: (970) 945-2840 |
| NPI Number | 1740879873 |
|---|---|
| Provider Enumeration Date | 01/13/2021 |
| Last Update Date | 01/13/2021 |
| Certification Date | 01/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740879873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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