Organization
MOUNTAIN FAMILY HEALTH CENTERS
Active
Parent organization
MOUNTAIN FAMILY HEALTH CENTERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAIN FAMILY HEALTH CENTERS
Authorized official
SHIELA R KENDALL (CREDENTIALING SPECIALIST)
(970) 928-1635
Entity
Organization
Contact information
Practice address
600 SOUTHSIDE DR, BASALT, CO 81621-9131
(970) 945-2840
Mailing address
2700 GILSTRAP CT STE 100, GLENWOOD SPRINGS, CO 81601-8735
(970) 945-2840
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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