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COLORADO KNEE AND SPINE CLINIC INC NPI 1710534524


NPI Information

NPI: 1710534524
Provider Name: COLORADO KNEE AND SPINE CLINIC, INC

Doing Business As: FIRST CARE PRIMARY CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
6726 S REVERE PKWY STE 180
CENTENNIAL, CO
ZIP 80112
Phone: (720) 681-6170
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COLORADO KNEE AND SPINE CLINIC, INC is a family medicine in Centennial, 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. COLORADO KNEE AND SPINE CLINIC, INC NPI is 1710534524. The provider is registered as an organization entity type.
The provider Is Doing Business As First Care Primary Clinic.

The provider's business location address is:

6726 S REVERE PKWY STE 180
CENTENNIAL, CO
ZIP 80112-962
Phone: (720) 681-6170

The provider's authorized official is Jeff Selano .
The authorized official title is Owner/ceo and has the following contact phone number (720) 681-6170.

The enumeration date for this NPI number is 8/26/2019 and was last updated on 3/7/2022.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2207Q00000XFamily 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
19000201584MEDICAIDCOLORADO

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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