Provider Demographics
NPI:1932084126
Name:SALIDA CLINIC
Entity type:Organization
Organization Name:SALIDA CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ELENA
Authorized Official - Last Name:RIEMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:719-221-1958
Mailing Address - Street 1:826 C ST
Mailing Address - Street 2:
Mailing Address - City:SALIDA
Mailing Address - State:CO
Mailing Address - Zip Code:81201-2719
Mailing Address - Country:US
Mailing Address - Phone:719-722-3202
Mailing Address - Fax:719-966-8550
Practice Address - Street 1:920 RUSH DR STE A
Practice Address - Street 2:
Practice Address - City:SALIDA
Practice Address - State:CO
Practice Address - Zip Code:81201-9669
Practice Address - Country:US
Practice Address - Phone:719-722-3202
Practice Address - Fax:719-966-8550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care