BEAR CREEK FAMILY MEDICINE PROF. LLC NPI 1326476466

NPI Information

NPI: 1326476466
Provider Name: BEAR CREEK FAMILY MEDICINE, PROF. LLC
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
2620 TENDERFOOT HILL ST
COLORADO SPRINGS, CO
ZIP 80906
Phone: (719) 632-0324
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BEAR CREEK FAMILY MEDICINE, PROF. LLC is a medical physician assistant in Colorado Springs, CO. BEAR CREEK FAMILY MEDICINE, PROF. LLC NPI is 1326476466. The provider is registered as an organization entity type.

The provider's business location address is:

2620 TENDERFOOT HILL ST
COLORADO SPRINGS, CO
ZIP 80906-353
Phone: (719) 632-0324
Fax: (719) 632-0326

The provider's authorized official is Katrina Elizabeth Grablin .
The authorized official title is Physician Assistant, Co-owner and has the following contact phone number (719) 632-0324.

The enumeration date for this NPI number is 10/29/2013 and was last updated on 10/31/2018.

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	261QP2300X	Clinic/Center	Primary Care			No
2	363AM0700X	Physician Assistant	Medical	2402	COLORADO	Yes

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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