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SWAN MOUNTAIN WOMEN'S CENTER PC NPI 1477149615


NPI Information

NPI: 1477149615
Provider Name: SWAN MOUNTAIN WOMEN'S CENTER, PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 06D2039212

Address:
36 OAK STREET
BUENA VISTA, CO
ZIP 81211
Phone: (970) 423-8840
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SWAN MOUNTAIN WOMEN'S CENTER, PC is an obstetrics gynecology in Buena Vista, CO. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SWAN MOUNTAIN WOMEN'S CENTER, PC NPI is 1477149615. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

36 OAK STREET
BUENA VISTA, CO
ZIP 81211
Phone: (970) 423-8840
Fax: (970) 423-8850

The provider's authorized official is Heather Murphy .
The authorized official title is Office Manager and has the following contact phone number (970) 423-8840.

The CLIA number assigned to this NPI record is 06D2039212 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/11/2020 and was last updated on 12/11/2020.


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
1207V00000XObstetrics & GynecologyYes

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
199908361MEDICAIDCOLORADO

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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