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OURAY FAMILY MEDICINE LLC NPI 1790925501


NPI Information

NPI: 1790925501
Provider Name: OURAY FAMILY MEDICINE LLC

Doing Business As: PAVILION FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 06D0996201

Address:
1804 E PAVILION PL
MONTROSE, CO
ZIP 81401
Phone: (970) 249-6670
Get Directions

OURAY FAMILY MEDICINE LLC is a family medicine in Montrose, 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. OURAY FAMILY MEDICINE LLC NPI is 1790925501. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pavilion Family Medicine.

The provider's business location address is:

1804 E PAVILION PL
MONTROSE, CO
ZIP 81401-795
Phone: (970) 249-6670
Fax: (970) 252-1372

The provider's authorized official is David P Olson .
The authorized official title is Owner and has the following contact phone number (970) 249-6670.

The CLIA number assigned to this NPI record is 06D0996201 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2009 and was last updated on 12/28/2016.


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
1COB4667MEDICARE PINCOLORADO
2DS4766OTHERRAILROAD WORKERS MEDICARE
389081251MEDICAIDCOLORADO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.