| Pediatric Associates Prof Llc | |
|
242 Cottonwood St Delta CO 81416-4403 | |
| (970) 874-7552 | |
| (855) 638-4966 |
| Full Name | Pediatric Associates Prof Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 242 Cottonwood St, Delta, Colorado |
| Authorized Official Name and Position | Amber Hickert (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9702492421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Associates Prof Llc 947 South 5th Street Montrose CO 81401 Ph: (970) 249-2421 | Pediatric Associates Prof Llc 242 Cottonwood St Delta CO 81416-4403 Ph: (970) 874-7552 |
| NPI Number | 1043016124 |
|---|---|
| Provider Enumeration Date | 02/20/2025 |
| Last Update Date | 02/20/2025 |
| Medicare PECOS PAC ID | 3375592637 |
|---|---|
| Medicare Enrollment ID | O20240223002210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043016124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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