IGNACIO FAMILY MEDICINE INC. NPI 1558531988

NPI Information

NPI: 1558531988
Provider Name: IGNACIO FAMILY MEDICINE, INC.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 06D0955863

Address:
115 CEDAR STREET
IGNACIO, CO
ZIP 81137
Phone: (970) 563-9388
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IGNACIO FAMILY MEDICINE, INC. is a family nurse practitioner in Ignacio, CO. IGNACIO FAMILY MEDICINE, INC. NPI is 1558531988. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

115 CEDAR STREET
IGNACIO, CO
ZIP 81137
Phone: (970) 563-9388

The provider's authorized official is Dixie Ann Melton .
The authorized official title is Corporation President and has the following contact phone number (970) 563-9388.

The CLIA number assigned to this NPI record is 06D0955863 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/29/2008 and was last updated on 2/29/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	70939	COLORADO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	15555071	MEDICAID	COLORADO
2	C77226	MEDICARE PIN
3	60309067	MEDICAID	COLORADO
4	S49048	MEDICARE UPIN

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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