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Organization
MORGAN COMMUNITY WALK- IN CLINIC
Active
Organization
MORGAN COMMUNITY WALK- IN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAFTU GEBREHIWOT M.D (OWNER)
(970) 867-0662
Entity
Organization
Contact information
Practice address
411 MAIN ST STE 203, FORT MORGAN, CO 80701-2136
(970) 867-0662
(970) 867-0917
Mailing address
411 MAIN ST STE 203, FORT MORGAN, CO 80701-2136
(970) 867-0662
(970) 867-0917
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
46877
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28921895
—
CO
Enumeration date
03/23/2009
Last updated
06/23/2009
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