RYON MEDICAL & ASSOCIATES LLC NPI 1861753931

NPI Information

NPI: 1861753931
Provider Name: RYON MEDICAL & ASSOCIATES, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 06D2048888

Address:
318 LACEY AVE
LA JUNTA, CO
ZIP 81050
Phone: (719) 384-0303
Get Directions

RYON MEDICAL & ASSOCIATES, LLC is a family nurse practitioner in La Junta, CO. RYON MEDICAL & ASSOCIATES, LLC NPI is 1861753931. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

318 LACEY AVE
LA JUNTA, CO
ZIP 81050-039
Phone: (719) 384-0303
Fax: (719) 384-1033

The provider's authorized official is Kevin Harsh .
The authorized official title is Ceo/cmo and has the following contact phone number (719) 384-0303.

The CLIA number assigned to this NPI record is 06D2048888 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/5/2012 and was last updated on 1/9/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		991295	COLORADO	No
2	101YM0800X	Counselor	Mental Health			No
3	261Q00000X	Clinic/Center				No
4	261QC1500X	Clinic/Center	Community Health			No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
6	261QP2300X	Clinic/Center	Primary Care			No
7	363LF0000X	Nurse Practitioner	Family	115077	COLORADO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	29854075	MEDICAID	COLORADO

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: 11/14/2023

NPI Synchronization or Removal

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