| Soco Medical Services Llc | |
|
518 San Juan Ave Alamosa CO 81101-2556 | |
| (719) 589-4400 | |
| (719) 589-4200 |
| Full Name | Soco Medical Services Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 518 San Juan Ave, Alamosa, Colorado |
| Authorized Official Name and Position | Debra Rice (OWNER) |
| Authorized Official Contact | 7194805522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soco Medical Services Llc 518 San Juan Ave Alamosa CO 81101-2556 Ph: (719) 589-4400 | Soco Medical Services Llc 518 San Juan Ave Alamosa CO 81101-2556 Ph: (719) 589-4400 |
| NPI Number | 1447668835 |
|---|---|
| Provider Enumeration Date | 07/29/2014 |
| Last Update Date | 07/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447668835 | NPI | - | NPPES |
| 82037566 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 188432 (Colorado) | Primary |
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Mini Mrv (mobile Response Vehicle) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 Hunt Ave, Alamosa, CO 81101 Phone: 719-587-1001 | |
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