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NPI Code Detail

MEDICARE: GENERALCARE HEALTH SERVICES

MEDICARE: GENERALCARE HEALTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QX0100XOccupational Medicine Clinic/Center20945CO

General Provider Information

NPI Number : 1598928301
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENERALCARE HEALTH SERVICES
Provider Business Mailing Address
First Line : 620 S LEMAY AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-3543
Country : US
Telephone Number : 970-482-6620
Fax Number : 970-482-6626
Provider Business Practice Location Address
First Line : 620 S LEMAY AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-3543
Country : US
Telephone Number : 970-482-6620
Fax Number : 970-482-6626
Authorized Official
Title or Position : OFFICE ADMINISTRATOR
Name : MS. LORI ANN VANSKIKE
Credential :
Telephone Number : 970-482-6620
Provider Enumeration Date : 07/02/2008
Last Update Date : 07/02/2008

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Directions to “GENERALCARE HEALTH SERVICES ” Practice Location

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