Prairie Medical Clinic Pllc in Pueblo - Family Medicine

Prairie Medical Clinic Pllc - NPI 1891914693

Prairie Medical Clinic Pllc is a Family Medicine in Pueblo, Colorado. Prairie Medical Clinic Pllc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Prairie Medical Clinic Pllc is 1891914693. The last update date is 2020-08-22.

Prairie Medical Clinic Pllc's current location address is 1726 S Prairie Ave, Pueblo, Colorado. You can contact this provider via phone number 7195618660 and fax number 7195618660. The mailing address for Prairie Medical Clinic Pllc is 1726 S Prairie Ave, Pueblo, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Organization Prairie Medical Clinic Pllc
Address 1726 S Prairie Ave, Pueblo, Colorado
Phone Number 7195618660
Fax Number 7195618660
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICIAN
Authorized Official Name Martinez Benjamin
Credentials MD
Telephone Number 7195611291

NPI Number Detail

NPI Number 1891914693
Provider Enumeration Date 2007-04-24
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1726 S Prairie Ave
City Pueblo
State Colorado (CO)
Post Code 810052253
Phone Number 7195618660
Fax Number 7195618660

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Definition:
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 i

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FAQs about Prairie Medical Clinic Pllc

What is the unique identifier code issued to Prairie Medical Clinic Pllc by the Centers for Medicare & Medicaid Services (CMS)?

The Prairie Medical Clinic Pllc has been assigned the NPI (National Provider Identifier) 1891914693. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Prairie Medical Clinic Pllc's facilities are geographically located?

The facilities of Prairie Medical Clinic Pllc are physically situated at the following location: 1726 S Prairie Ave, Pueblo, CO, 810052253.

What is Prairie Medical Clinic Pllc's area of expertise and its corresponding taxonomy classification?

The Prairie Medical Clinic Pllc's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1891914693 assigned to Prairie Medical Clinic Pllc?

The Prairie Medical Clinic Pllc was issued its 1891914693 on 2007-04-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Prairie Medical Clinic Pllc most recently updated or revised?

The information pertaining to Prairie Medical Clinic Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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