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VANACKER FAMILY CARE CLINIC NPI 1326794496


NPI Information

NPI: 1326794496
Provider Name: VANACKER FAMILY CARE CLINIC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
2205 FORGE RD
CANON CITY, CO
ZIP 81212
Phone: (719) 371-0069
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VANACKER FAMILY CARE CLINIC is a point of service in Canon City, CO. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. VANACKER FAMILY CARE CLINIC NPI is 1326794496. The provider is registered as an organization entity type.

The provider's business location address is:

2205 FORGE RD
CANON CITY, CO
ZIP 81212-150
Phone: (719) 371-0069
Fax: (719) 285-8339

The provider's authorized official is Lori Lynn Vanacker .
The authorized official title is Owner and has the following contact phone number (719) 371-0069.

The enumeration date for this NPI number is 2/26/2022 and was last updated on 2/26/2022.


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
1305S00000XPoint of ServiceYes

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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