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COTTONWOOD HOLISTIC FAMILY HEALTH NPI 1285723890


NPI Information

NPI: 1285723890
Provider Name: COTTONWOOD HOLISTIC FAMILY HEALTH
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 06D1045674

Address:
3600 MAIN AVE
SUITE C
DURANGO, CO
ZIP 81301
Phone: (970) 259-7171
Get Directions

COTTONWOOD HOLISTIC FAMILY HEALTH is a family medicine in Durango, 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. COTTONWOOD HOLISTIC FAMILY HEALTH NPI is 1285723890. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3600 MAIN AVE
SUITE C
DURANGO, CO
ZIP 81301-031
Phone: (970) 259-7171
Fax: (970) 259-7176

The provider's authorized official is Suzanne Renee Ciotti .
The authorized official title is Secretary Physician and has the following contact phone number (970) 259-7171.

The CLIA number assigned to this NPI record is 06D1045674 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/12/2006 and was last updated on 11/19/2008.


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 MedicineYes

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
1C804279MEDICARE PINCOLORADO
201356062MEDICAIDCOLORADO

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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