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Edward Medina (PAC)

Edward Medina (PAC) is a health care provider specializes in Physician Assistant. He is associated with medical group practice VALLEY-WIDE HEALTH SYSTEMS, INC and is affiliated with hospital of San Luis Valley Health.

profile-icon Basic Information

Practice Location 1710 1st St, Alamosa, CO 81101-2302, US
Practice Location Phone719-589-3658
Practice Location Fax719-589-0997
GenderMale
Specialty InPhysician Assistant
Medical SchoolOther
Graduation Year1998
NPI ?1558351460
PECOS ID3274572516
Enrollment IDI20050427000281
Entity TypeIndividual
Enumeration Date ? Oct 24, 2005
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Edward Medina

SpecialtySpecializationLicenseLicense State
Physician Assistant 1115Colorado

Medicare-icon Medicare Participation of Edward Medina

Accepts Medicare AssignmentYes
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Edward Medina

Medical Group PracticeValley-wide Health Systems, Inc
Affiliation 1 San Luis Valley Health

legacy-id-icon Legacy Provider IDs of Edward Medina

Provider IdIssuer StateIssuer TypeIssuer
840706945169ColoradoOtherROCKY MOUNTAIN HEALTH PLA