PARKVIEW ANCILLARY SERVICES NPI 1902440597

NPI Information

NPI: 1902440597
Provider Name: PARKVIEW ANCILLARY SERVICES
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Other Name: UCHEALTH FAMILY MEDICINE - PUEBLO WEST
CLIA Number: 06D2043418
Address: 121 S. CRESCENT DRIVE
PUEBLO WEST, CO
ZIP 81007
Phone: (719) 595-7575

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NPI Details

PARKVIEW ANCILLARY SERVICES is a family medicine in Pueblo West, 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. PARKVIEW ANCILLARY SERVICES NPI is 1902440597. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Uchealth Family Medicine - Pueblo West.

The provider's business location address is:

121 S. CRESCENT DRIVE
PUEBLO WEST, CO
ZIP 81007-434
Phone: (719) 595-7575
Fax: (719) 547-8368

The provider's authorized official is Jana Conroy .
The authorized official title is Director Of Credentialing and has the following contact phone number (719) 595-7575.

The CLIA number assigned to this NPI record is 06D2043418 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2019 and was last updated on 12/2/2024.

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	207Q00000X	Family Medicine				Yes
2	261QP2300X	Clinic/Center	Primary Care			No

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	29734860	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: 3/30/2025

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