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MONTE VISTA FAMILY PRACTICE NPI 1417935438


NPI Information

NPI: 1417935438
Provider Name: MONTE VISTA FAMILY PRACTICE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
103 CHICO CT
MONTE VISTA, CO
ZIP 81144
Phone: (719) 852-9400
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MONTE VISTA FAMILY PRACTICE is a family medicine in Monte Vista, 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. MONTE VISTA FAMILY PRACTICE NPI is 1417935438. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

103 CHICO CT
MONTE VISTA, CO
ZIP 81144-065
Phone: (719) 852-9400

The provider's authorized official is Mark David Pinkerton .
The authorized official title is Md and has the following contact phone number (719) 852-9400.

The enumeration date for this NPI number is 1/9/2006 and was last updated on 5/27/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily 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
118959253MEDICAIDCOLORADO
2C377708MEDICARE ID-TYPE UNSPECIFIED
31314530001MEDICARE NSCCOLORADO

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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