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AGAPE FAMILY PRACTICE P.C. NPI 1144405739


NPI Information

NPI: 1144405739
Provider Name: AGAPE FAMILY PRACTICE, P.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2139 N 12TH ST
UNIT 4
GRAND JUNCTION, CO
ZIP 81501
Phone: (970) 257-7116
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AGAPE FAMILY PRACTICE, P.C. is a family medicine in Grand Junction, 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. AGAPE FAMILY PRACTICE, P.C. NPI is 1144405739. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2139 N 12TH ST
UNIT 4
GRAND JUNCTION, CO
ZIP 81501-901
Phone: (970) 257-7116
Fax: (970) 257-7119

The provider's authorized official is Craig Allen Severance .
The authorized official title is Office Manager and has the following contact phone number (970) 257-7116.

The enumeration date for this NPI number is 1/2/2008 and was last updated on 6/25/2010.


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 Medicine34092COLORADOYes

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
1C382508MEDICARE PINCOLORADO

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: 11/14/2023

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