Organization
SPANISH PEAKS NEW ALTERNATIVES, INC.
Active
Parent organization
SPANISH PEAKS NEW ALTERNATIVES INC.
Other names
Spanish Peaks New Alternative Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPANISH PEAKS NEW ALTERNATIVES INC.
Authorized official
JENNIFER RUDNIK MPM (CREDENTIALING MANAGER)
(719) 423-1341
Entity
Organization
Contact information
Practice address
910 E MAIN ST, TRINIDAD, CO 81082-2725
(719) 545-2746
Mailing address
41 MONTEBELLO RD STE 204, PUEBLO, CO 81001-1379
(719) 545-2746
(719) 545-4100
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
01/10/2024
Last updated
05/28/2024
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