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PREFERRED PROVIDER SERVICES NPI 1811176688


NPI Information

NPI: 1811176688
Provider Name: PREFERRED PROVIDER SERVICES
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 06D2049375

Address:
8200 S QUEBEC ST STE A3-313
CENTENNIAL, CO
ZIP 80112
Phone: (303) 481-7030
Get Directions

PREFERRED PROVIDER SERVICES is a geriatric medicine internal medicine in Centennial, CO. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. PREFERRED PROVIDER SERVICES NPI is 1811176688. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8200 S QUEBEC ST STE A3-313
CENTENNIAL, CO
ZIP 80112-411
Phone: (303) 481-7030
Fax: (303) 745-7942

The provider's authorized official is Bobbie Jo Livingston .
The authorized official title is Owner and has the following contact phone number (303) 481-7030.

The CLIA number assigned to this NPI record is 06D2049375 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2007 and was last updated on 5/17/2010.


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
1207RG0300XInternal MedicineGeriatric 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
1COB4301MEDICARE PINCOLORADO

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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