Organization
MOUNTAIN FAMILY HEALTH CENTERS
Active
Organization
MOUNTAIN FAMILY HEALTH CENTERS
Active
Parent organization
MOUNTAIN FAMILY HEALTH CENTERS
Other names
Mountain Family Health Centers Edwards CMC Dental Site
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAIN FAMILY HEALTH CENTERS
Authorized official
STEVEN MICHAEL LEAZER (CHIEF FINANCIAL OFFICER)
(970) 928-1682
Entity
Organization
Contact information
Practice address
150 MILLER RANCH RD RM 243, EDWARDS, CO 81632-6420
(970) 945-2840
(970) 945-2893
Mailing address
PO BOX 339, GLENWOOD SPRINGS, CO 81602-0339
(970) 945-2840
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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