Organization
MOUNTAIN FAMILY HEALTH CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE ELMA HOWELL JR. M.D. (PHYSICIAN)
(303) 582-5276
Entity
Organization
Contact information
Practice address
562 GREGORY ST, BLACK HAWK, CO 80422-0066
(303) 582-5276
(303) 582-3929
Mailing address
PO BOX 66, BLACK HAWK, CO 80422-0066
(303) 582-5276
(303) 582-3929
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
30655
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01306554
—
CO
Enumeration date
07/21/2005
Last updated
08/22/2020
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