# MORGAN COMMUNITY WALK- IN CLINIC

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

## Provider details

- **NPI number:** 1427299304
- **Authorized official:** HAFTU GEBREHIWOT M.D (OWNER)
- **Authorized official phone:** (970) 867-0662

## Contact information

- **Practice address:** 411 MAIN ST STE 203, FORT MORGAN, CO 80701-2136
- **Practice address phone:** (970) 867-0662
- **Practice address fax:** (970) 867-0917
- **Mailing address:** 411 MAIN ST STE 203, FORT MORGAN, CO 80701-2136
- **Mailing address phone:** (970) 867-0662
- **Mailing address fax:** (970) 867-0917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 46877 | CO | Yes |

## Other

- **Enumeration date:** 03/23/2009
- **Last updated:** 06/23/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 28921895 | — | CO |