Organization
MOUNTAIN FAMILY HEALTH CENTERS
Active
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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