Dr Jackie L Mccollum, Md. P.C. in Aurora - Point Of Service
Dr Jackie L Mccollum, Md. P.C. - NPI 1174706808
Dr Jackie L Mccollum, Md. P.C. is a Point Of Service in Aurora, Colorado. Dr Jackie L Mccollum, Md. P.C. practices all healthcare services and medical treatments related to Point Of Service. The NPI Number for Dr Jackie L Mccollum, Md. P.C. is 1174706808. The last update date is 2022-06-10.
Dr Jackie L Mccollum, Md. P.C.'s current location address is 12101 E 2nd Ave, Aurora, Colorado. You can contact this provider via phone number 7205356204. The mailing address for Dr Jackie L Mccollum, Md. P.C. is 12101 E 2nd Ave, Aurora, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dr Jackie L Mccollum, Md. P.C. |
|---|---|
| Address | 12101 E 2nd Ave, Aurora, Colorado |
| Phone Number | 7205356204 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mccollum Lynne Jackie |
| Credentials | MD |
| Telephone Number | 7205356204 |
NPI Number Detail
| NPI Number | 1174706808 |
|---|---|
| Provider Enumeration Date | 2007-12-17 |
| Last Updated Date | 2022-06-10 |
Provider Mailing Address Detail
| Address | 12101 E 2nd Ave |
|---|---|
| City | Aurora |
| State | Colorado (CO) |
| Post Code | 800118327 |
| Phone Number | 7205356204 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Point Of Service |
|---|---|
| Taxonomy | 305S00000X |
| Licence No | 28393 |
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Definition: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
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What is the unique provider identifier assigned to Dr Jackie L Mccollum, Md. P.C.?
The Dr Jackie L Mccollum, Md. P.C. has been issued the NPI (National Provider Identifier) 1174706808 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Dr Jackie L Mccollum, Md. P.C. located?
The Dr Jackie L Mccollum, Md. P.C. is located at 12101 E 2Nd Ave, Aurora, CO 800118327.
What is Dr Jackie L Mccollum, Md. P.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Dr Jackie L Mccollum, Md. P.C.'s area of specialization is Point Of Service, and the corresponding taxonomy code that categorizes this field of practice is 305S00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174706808 to Dr Jackie L Mccollum, Md. P.C.?
The Dr Jackie L Mccollum, Md. P.C. received its 1174706808 assignment from the Centers for Medicare & Medicaid Services on 2007-12-17.
When was the information regarding Dr Jackie L Mccollum, Md. P.C. most recently updated?
The details pertaining to the Dr Jackie L Mccollum, Md. P.C., including its address, specialty, and other relevant information, were last refreshed on 2022-06-10.
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