Organization
HEALTHONE CLINIC SERVICES - PRIMARY CARE, LLC
Active
Parent organization
HEALTHONE CLINIC SERVICES - PRIMARY CARE, LLC
Other names
South Park Health Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTHONE CLINIC SERVICES - PRIMARY CARE, LLC
Authorized official
MR. WILLIAM M SMITHAM (VP)
(303) 584-8119
Entity
Organization
Contact information
Practice address
525 HATHAWAY ST, FAIRPLAY, CO 80440
(719) 836-0334
(719) 836-0336
Mailing address
525 HATHAWAY ST, FAIRPLAY, CO 80440
(719) 836-0334
(719) 836-0336
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
01/23/2020
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