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CENTER POINTE FAMILY MEDICINE LLC NPI 1053654319


NPI Information

NPI: 1053654319
Provider Name: CENTER POINTE FAMILY MEDICINE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 06D0517681

Address:
37 WIDEFIELD BLVD
COLORADO SPRINGS, CO
ZIP 80911
Phone: (719) 390-4335
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CENTER POINTE FAMILY MEDICINE LLC is a family medicine in Colorado Springs, CO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CENTER POINTE FAMILY MEDICINE LLC NPI is 1053654319. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

37 WIDEFIELD BLVD
COLORADO SPRINGS, CO
ZIP 80911-126
Phone: (719) 390-4335
Fax: (719) 390-4566

The provider's authorized official is Baiju Abdulla .
The authorized official title is Owner/medical Director and has the following contact phone number (719) 390-4335.

The CLIA number assigned to this NPI record is 06D0517681 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2013 and was last updated on 5/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine27593COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
115622819MEDICAIDCOLORADO
206501575MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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