MORGAN COMMUNITY WALK- IN CLINIC
Ambulatory Health at Main St, Fort Morgan, CO

License number
Colorado 46877
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: HAFTU GEBREHIWOT M.D
Title: OWNER
Phone: (970) 867-0662
Address
Address
411 Main St STE 203, Fort Morgan, CO 80701
National Provider ID: 1427299304
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Morgan Community Walk In Clinic

Fort Morgan, CO

Status:
Inactive
Registration:
Jan 22, 2009
Addresses:
411 Main St SUITE # 203, Fort Morgan, CO 80701 (Physical)
614 Aurora St, Fort Morgan, CO 80701 (Mailing)
State ID:
20091044077
Business type:
Individual
Agent:
Haftu Gebrehiwot

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