Organization
SILVERTON AND SAN JUAN CO CLINIC
Active
Other names
Silverton Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA BROKERING RN (BOARD MEMBER)
(970) 618-3913
Entity
Organization
Contact information
Practice address
1315 SNOWDEN STREET, SILVERTON, CO 81433
(970) 387-5114
(970) 387-5036
Mailing address
PO BOX 964, SILVERTON, CO 81433-0964
(970) 387-5114
(970) 387-5037
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12345
FREE CLINIC NO INSURANCE BILLING
—
Enumeration date
06/24/2020
Last updated
06/24/2020
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