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Organization

BASIN CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA PIERCE (DIRECTOR)
(970) 865-2665
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
261QR1300X
Rural Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020250699
EEOIC
05
18434576
CO
01
BA643081
ANTHEM BLUE CROSS
CO
01
C383208
MEDICARE PART B
CO
Enumeration date
05/27/2006
Last updated
04/28/2021
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