Provider Demographics
NPI:1275842585
Name:HEALTH FOR LIFE CLINICS, INC.
Entity Type:Organization
Organization Name:HEALTH FOR LIFE CLINICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CALL
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, FNP-C, APRN BC
Authorized Official - Phone:970-310-6905
Mailing Address - Street 1:1203 9TH ST
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-3233
Mailing Address - Country:US
Mailing Address - Phone:970-310-6905
Mailing Address - Fax:970-356-5706
Practice Address - Street 1:1203 9TH ST
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-3233
Practice Address - Country:US
Practice Address - Phone:970-310-6905
Practice Address - Fax:970-356-5706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONP5902261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care