| St Anthony Health Center Evergreen | |
|
32214 Ellingwood Trl Suite 210 Evergreen CO 80439-9779 | |
| (303) 679-2020 | |
| (303) 670-2160 |
| Full Name | St Anthony Health Center Evergreen |
|---|---|
| Speciality | Family Medicine |
| Location | 32214 Ellingwood Trl, Evergreen, Colorado |
| Authorized Official Name and Position | Angela Skinner (OMA ADMINISTRATOR) |
| Authorized Official Contact | 3036737175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Anthony Health Center Evergreen Po Box 911057 Denver CO 80291-1057 Ph: (303) 643-1099 | St Anthony Health Center Evergreen 32214 Ellingwood Trl Suite 210 Evergreen CO 80439-9779 Ph: (303) 679-2020 |
| NPI Number | 1053557819 |
|---|---|
| Provider Enumeration Date | 12/29/2008 |
| Last Update Date | 04/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053557819 | NPI | - | NPPES |
| 81453213 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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