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IDEAL FAMILY HEALTHCARE PC NPI 1932385549


NPI Information

NPI: 1932385549
Provider Name: IDEAL FAMILY HEALTHCARE PC

Former Legal Business Name: COTTONWOOD FAMILY MEDICINE

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
335 MANITOU AVE
MANITOU SPRINGS, CO
ZIP 80829
Phone: (719) 686-8844
Get Directions

IDEAL FAMILY HEALTHCARE PC is a clinic center in Manitou Springs, CO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). IDEAL FAMILY HEALTHCARE PC NPI is 1932385549. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Cottonwood Family Medicine.

The provider's business location address is:

335 MANITOU AVE
MANITOU SPRINGS, CO
ZIP 80829
Phone: (719) 686-8844
Fax: (719) 686-7449

The provider's authorized official is Gregory Evan Sharp .
The authorized official title is President and has the following contact phone number (719) 686-8844.

The enumeration date for this NPI number is 1/14/2008 and was last updated on 10/15/2018.


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
1261Q00000XClinic/CenterYes

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
1DD3684OTHERPALMETTO GBA

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: 5/5/2024

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