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LOMA VISTA GENERAL & FAMILY PRACTICE PC NPI 1740278936


NPI Information

NPI: 1740278936
Provider Name: LOMA VISTA GENERAL & FAMILY PRACTICE PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2201 SAN JUAN AVE
LA JUNTA, CO
ZIP 81050
Phone: (719) 384-8181
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LOMA VISTA GENERAL & FAMILY PRACTICE PC is a family medicine in La Junta, 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. LOMA VISTA GENERAL & FAMILY PRACTICE PC NPI is 1740278936. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2201 SAN JUAN AVE
LA JUNTA, CO
ZIP 81050-323
Phone: (719) 384-8181
Fax: (719) 384-4872

The provider's authorized official is Barbara Elaine Schmucker .
The authorized official title is President and has the following contact phone number (719) 384-8181.

The enumeration date for this NPI number is 10/11/2005 and was last updated on 12/5/2017.


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 Medicine22033COLORADOYes

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
104773040MEDICAIDCOLORADO

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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