Organization
ROCKY FORD FAMILY HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRY L MILLER MBA, CPA (BUSINESS MANAGER)
(719) 254-7421
Entity
Organization
Contact information
Practice address
1014 ELM AVE, ROCKY FORD, CO 81067-1328
(719) 254-7421
(719) 254-6966
Mailing address
1014 ELM AVE, ROCKY FORD, CO 81067-1328
(719) 254-7421
(719) 254-6966
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70077371
—
CO
Enumeration date
11/28/2006
Last updated
03/17/2016
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