Organization
PHC-FORT MORGAN INC
Active
Parent organization
PHC-FORT MORGAN INC
Other names
Colorado Plains Clinic - Wiggins
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHC-FORT MORGAN INC
Authorized official
WILLIAM M. GRACEY (COO)
(615) 372-8500
Entity
Organization
Contact information
Practice address
226 MAIN ST, WIGGINS, CO 80654-1368
(970) 483-7283
Mailing address
103 POWELL CT, STE. 200, BRENTWOOD, TN 37027-5079
(615) 372-8500
(615) 372-8572
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2006
Last updated
08/20/2007
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