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BUTTON FAMILY PRACTICE PC NPI 1144269739


NPI Information

NPI: 1144269739
Provider Name: BUTTON FAMILY PRACTICE PC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 06D1003735

Address:
715 SOUTH 9TH STREET
CANON CITY, CO
ZIP 81212
Phone: (719) 269-8820
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BUTTON FAMILY PRACTICE PC is a rural health clinic center in Canon City, CO. BUTTON FAMILY PRACTICE PC NPI is 1144269739. The provider is registered as an organization entity type.

The provider's business location address is:

715 SOUTH 9TH STREET
CANON CITY, CO
ZIP 81212-911
Phone: (719) 269-8820
Fax: (719) 204-0230

The provider's authorized official is Marcus A Button .
The authorized official title is Owner Operator President and has the following contact phone number (719) 269-8820.

The CLIA number assigned to this NPI record is 06D1003735 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/6/2006 and was last updated on 2/14/2024.


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
1261QR1300XClinic/CenterRural HealthYes

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
104321863MEDICAIDCOLORADO

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.