| Plateau Valley Hospital District | |
|
58128 Highway 330 Collbran CO 81624-9502 | |
| (970) 487-3565 | |
| Not Available |
| Full Name | Plateau Valley Hospital District |
|---|---|
| Speciality | Family Medicine |
| Location | 58128 Highway 330, Collbran, Colorado |
| Authorized Official Name and Position | Jessie Clark (ADMINISTRATOR) |
| Authorized Official Contact | 9704873565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Plateau Valley Hospital District 58128 Highway 330 Collbran CO 81624-9502 Ph: (970) 487-3565 | Plateau Valley Hospital District 58128 Highway 330 Collbran CO 81624-9502 Ph: (970) 487-3565 |
| NPI Number | 1609990928 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 06/07/2022 |
| Medicare PECOS PAC ID | 1658365879 |
|---|---|
| Medicare Enrollment ID | O20040412000825 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609990928 | NPI | - | NPPES |
| 04703047 | Medicaid | CO | |
| PLR3408 | Other | CO | BLUE CROSS BLUE SHIELD |
| 04703047 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Erika Woodyard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114075587 PECOS PAC ID: 3072771666 Enrollment ID: I20120229000287 |
| Provider Name | Beth Lynn Hedstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306407168 PECOS PAC ID: 6507274701 Enrollment ID: I20210427001882 |