Mountain Family Health Centers

NPI #1174114417 in Basalt, Colorado

Provider Information

NPI Number
1174114417
Entity Type
Organization
Organization Name
Mountain Family Health Centers
Subpart
Yes (part of a larger organization)
Parent Organization
MOUNTAIN FAMILY HEALTH CENTERS
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jan 29, 2021
Last Updated
Jan 29, 2021

Practice Location

Address
600 SOUTHSIDE DR
City
Basalt
ZIP Code
81621-9131
Phone
(970) 945-2840

Authorized Official

Name
SHIELA R KENDALL
Title
CREDENTIALING SPECIALIST
Phone
(970) 928-1635

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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