| Pioneer Elementary School | |
|
415 Spruce St Fort Morgan CO 80701-2279 | |
| (303) 697-2583 | |
| (970) 867-9365 |
| Full Name | Pioneer Elementary School |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 415 Spruce St, Fort Morgan, Colorado |
| Authorized Official Name and Position | David Madsen (CFO) |
| Authorized Official Contact | 7203229405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Elementary School 203 S Rollie Ave Fort Lupton CO 80621-1508 Ph: (303) 892-6401 | Pioneer Elementary School 415 Spruce St Fort Morgan CO 80701-2279 Ph: (303) 697-2583 |
| NPI Number | 1427550441 |
|---|---|
| Provider Enumeration Date | 03/06/2018 |
| Last Update Date | 01/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427550441 | NPI | - | NPPES |
| 9000164202 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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