| NPI | 1538930417 |
|---|---|
| Doing Business As | SPANISH PEAKS NEW ALTERNATIVE INC. |
| Entity Type | Organization |
| Authorized Contact | JENNIFER RUDNIK Credentialing Manager 719-423-1341 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-05-28 |