SAGUARO FAMILY CLINIC NPI 1063599256

NPI Information

NPI: 1063599256
Provider Name: SAGUARO FAMILY CLINIC

Other Name: SAGUARO FAMILY CLINIC INCORPORATED

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1189 S PERRY ST
SUITE 220
CASTLE ROCK, CO
ZIP 80104
Phone: (303) 688-8108
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SAGUARO FAMILY CLINIC is a family nurse practitioner in Castle Rock, CO. SAGUARO FAMILY CLINIC NPI is 1063599256. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Saguaro Family Clinic Incorporated.

The provider's business location address is:

1189 S PERRY ST
SUITE 220
CASTLE ROCK, CO
ZIP 80104-958
Phone: (303) 688-8108

The provider's authorized official is Gail Ladean Cross .
The authorized official title is President and has the following contact phone number (303) 688-8108.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 9/23/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	57204	COLORADO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C808401	MEDICARE PIN	COLORADO

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

NPI Synchronization or Removal

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