| Stoney Mesa Family Practice Inc | |
|
1722 Hillcrest Dr Delta CO 81416-2810 | |
| (970) 874-5061 | |
| (970) 874-5074 |
| Full Name | Stoney Mesa Family Practice Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1722 Hillcrest Dr, Delta, Colorado |
| Authorized Official Name and Position | Michelle Purvis (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9708745061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stoney Mesa Family Practice Inc Po Box 1129 Delta CO 81416-1129 Ph: (970) 874-2470 | Stoney Mesa Family Practice Inc 1722 Hillcrest Dr Delta CO 81416-2810 Ph: (970) 874-5061 |
| NPI Number | 1235310285 |
|---|---|
| Provider Enumeration Date | 11/19/2007 |
| Last Update Date | 11/07/2008 |
| Medicare PECOS PAC ID | 5294825030 |
|---|---|
| Medicare Enrollment ID | O20071218000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235310285 | NPI | - | NPPES |
| 83777865 | Medicaid | CO | |
| ST802592 | Other | CO | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 39111 (Colorado) | Primary |
| Provider Name | Michelle P Purvis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871530113 PECOS PAC ID: 4688622715 Enrollment ID: I20050105000888 |
Kieca Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2050 South Main, Unit B, Delta, CO 81416 Phone: 970-874-4473 Fax: 970-874-8681 | |
Serena Smith Md Fp Professional Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 Palmer Street, Delta, CO 81416 Phone: 970-874-4473 Fax: 970-874-8681 | |
Dr Eric Peper Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 164 W 3rd St, Delta, CO 81416 Phone: 970-874-2691 Fax: 970-874-9952 | |
Pediatric Associates Prof Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 242 Cottonwood St, Delta, CO 81416 Phone: 970-874-7552 Fax: 855-638-4966 | |
Red Mountain Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 719-219-2400 Fax: 719-219-2409 | |
Delta County Ambulance District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Heinz St, Delta, CO 81416 Phone: 970-874-7001 | |
The Body Shop Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1554 H38 Rd, Delta, CO 81416 Phone: 970-985-1491 |