Rocky Mountain Clinics LLC
Family Medicine, Addiction Medicine in Walsenburg, CO. Organization (NPI-2).
NPI number1710695499
StatusActive
Last updated in NPPESMar 14, 2023
Details
- NPI
- 1710695499
- Entity type
- Organization (NPI-2)
- Legal business name
- Rocky Mountain Clinics LLC
- Organization subpart
- No
- Enumeration date
- Nov 10, 2022
- Certification date
- Mar 14, 2023
- Last updated
- Mar 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0401X | Family Medicine, Addiction Medicine | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Practice location
928 Russell AveWalsenburg, CO 81089-2155
Phone 866-628-7828
Mailing address
1120 E Elizabeth St Ste G2Fort Collins, CO 80524-4044
Authorized official
Sabrina Gibson
Cfo
9704939193
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