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MOUNTAIN STREAMS MEDICAL CENTER PC NPI 1710046958


NPI Information

NPI: 1710046958
Provider Name: MOUNTAIN STREAMS MEDICAL CENTER PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2155 HOLLOW BROOK DR STE 60
COLORADO SPRINGS, CO
ZIP 80918
Phone: (719) 536-4831
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MOUNTAIN STREAMS MEDICAL CENTER PC is a family medicine in Colorado Springs, 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. MOUNTAIN STREAMS MEDICAL CENTER PC NPI is 1710046958. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2155 HOLLOW BROOK DR STE 60
COLORADO SPRINGS, CO
ZIP 80918-455
Phone: (719) 536-4831
Fax: (719) 536-4814

The provider's authorized official is Scott B Woody .
The authorized official title is President and has the following contact phone number (719) 321-6974.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 6/2/2020.


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
1207Q00000XFamily Medicine39735COLORADOYes

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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