Pagosa Springs Family Medicine Center Pc in Pagosa Springs - Specialist
Pagosa Springs Family Medicine Center Pc - NPI 1023133824
Pagosa Springs Family Medicine Center Pc is a Specialist in Pagosa Springs, Colorado. Pagosa Springs Family Medicine Center Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Pagosa Springs Family Medicine Center Pc is 1023133824. The last update date is 2009-05-15.
Pagosa Springs Family Medicine Center Pc's current location address is 75 S Pagosa Blvd, Pagosa Springs, Colorado. You can contact this provider via phone number 9707314131 and fax number 9707319384. The mailing address for Pagosa Springs Family Medicine Center Pc is 75 S Pagosa Blvd, Pagosa Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pagosa Springs Family Medicine Center Pc |
|---|---|
| Address | 75 S Pagosa Blvd, Pagosa Springs, Colorado |
| Phone Number | 9707314131 |
| Fax Number | 9707319384 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Pruitt C James |
| Credentials | M.D. |
| Telephone Number | 9707314131 |
NPI Number Detail
| NPI Number | 1023133824 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2009-05-15 |
Provider Mailing Address Detail
| Address | 75 S Pagosa Blvd |
|---|---|
| City | Pagosa Springs |
| State | Colorado (CO) |
| Post Code | 811478330 |
| Phone Number | 9707314131 |
| Fax Number | 9707319384 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 74603051 | CO | -- | |
| 06D0518606 | NM | NM BCBS | |
| PAP07008 | CO | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Pagosa Springs Family Medicine Center Pc by the Centers for Medicare & Medicaid Services?
The Pagosa Springs Family Medicine Center Pc has been issued the NPI (National Provider Identifier) 1023133824. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Pagosa Springs Family Medicine Center Pc is located?
The Pagosa Springs Family Medicine Center Pc is situated at the following address: 75 S Pagosa Blvd, Pagosa Springs, CO, 811478330.
What is Pagosa Springs Family Medicine Center Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Pagosa Springs Family Medicine Center Pc is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
When was the Pagosa Springs Family Medicine Center Pc's 1023133824 issued?
The Pagosa Springs Family Medicine Center Pc's 1023133824 was issued on 2007-03-20.
When was the Pagosa Springs Family Medicine Center Pc's information last updated?
The Pagosa Springs Family Medicine Center Pc's information was last updated on 2009-05-15.