| Monfort Family Clinic- Vision Supply | |
|
2930 11th Ave Evans CO 80620-1011 | |
| (970) 350-4602 | |
| Not Available |
| Full Name | Monfort Family Clinic- Vision Supply |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2930 11th Ave, Evans, Colorado |
| Authorized Official Name and Position | Lisa Aspromonte (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9703504602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monfort Family Clinic- Vision Supply 2930 11th Ave Evans CO 80620-1011 | Monfort Family Clinic- Vision Supply 2930 11th Ave Evans CO 80620-1011 Ph: (970) 350-4602 |
| NPI Number | 1851930663 |
|---|---|
| Provider Enumeration Date | 12/26/2019 |
| Last Update Date | 02/20/2026 |
| Certification Date | 02/20/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851930663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
| 332H00000X | Eyewear Supplier | (NU) | Secondary |
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Monfort Family Clinic- Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2930 11th Ave, Evans, CO 80620 Phone: 970-353-9403 |
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