| San Luis Valley Community Mental Health Center | |
|
20 Lodge Dr South Fork CO 81154-9670 | |
| (719) 589-3671 | |
| Not Available |
| Full Name | San Luis Valley Community Mental Health Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 20 Lodge Dr, South Fork, Colorado |
| Authorized Official Name and Position | Victoria Romero (CEO) |
| Authorized Official Contact | 7195893671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Luis Valley Community Mental Health Center 8745 County Road 9 S Alamosa CO 81101-9610 Ph: (719) 589-3671 | San Luis Valley Community Mental Health Center 20 Lodge Dr South Fork CO 81154-9670 Ph: (719) 589-3671 |
| NPI Number | 1487270179 |
|---|---|
| Provider Enumeration Date | 06/18/2020 |
| Last Update Date | 01/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487270179 | NPI | - | NPPES |
San Luis Valley Community Mental Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Lodge Dr, South Fork, CO 81154 Phone: 719-589-3671 | |
San Luis Valley Community Mental Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Lodge Dr, South Fork, CO 81154 Phone: 719-589-3671 Fax: 719-587-6824 |