# BASIN CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114974037
- **Authorized official:** CHRISTINA PIERCE (DIRECTOR)
- **Authorized official phone:** (970) 865-2665

## Contact information

- **Practice address:** 421 ADAMS ST, NATURITA, CO 81422-5018
- **Practice address phone:** (970) 865-2665
- **Practice address fax:** (970) 865-2674
- **Mailing address:** PO BOX 340, NATURITA, CO 81422-0340
- **Mailing address phone:** (970) 865-2665
- **Mailing address fax:** (970) 865-2674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 04/28/2021