Organization
FORT MORGAN PEDIATRIC CLINIC
Active
Other names
rural health clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEHINDE OBETO (PRESIDENT)
(970) 542-2229
Entity
Organization
Contact information
Practice address
1000 LINCOLN ST, SUITE 202, FORT MORGAN, CO 80701-3290
(970) 542-2229
Mailing address
1000 LINCOLN ST, SUITE 202, FORT MORGAN, CO 80701-3290
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
CO
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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