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DR JACKIE L MCCOLLUM MD. P.C. NPI 1174706808


NPI Information

NPI: 1174706808
Provider Name: DR JACKIE L MCCOLLUM, MD. P.C.
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
12101 E 2ND AVE
SUITE 105
AURORA, CO
ZIP 80011
Phone: (720) 535-6204
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DR JACKIE L MCCOLLUM, MD. P.C. is a point of service in Aurora, CO. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. DR JACKIE L MCCOLLUM, MD. P.C. NPI is 1174706808. The provider is registered as an organization entity type.

The provider's business location address is:

12101 E 2ND AVE
SUITE 105
AURORA, CO
ZIP 80011-327
Phone: (720) 535-6204
Fax: (720) 949-0540

The provider's authorized official is Jackie Lynne Mccollum .
The authorized official title is President and has the following contact phone number (720) 535-6204.

The enumeration date for this NPI number is 12/17/2007 and was last updated on 6/10/2022.


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
1305S00000XPoint of Service28393COLORADOYes

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

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.