Family Medical Center Llc

LBN: Family Medical Center Llc
Family Medical Center Llc is an health care organization with primary practice located at 517 Colorado Ave , Pueblo CO 81004-2075. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Family Medical Center Llc can be contacted via phone (719) 543-4016, or through Smith, Christopher John via phone (719) 543-4016.

Contact Information

Primary practice address
517 Colorado Ave Pueblo CO 81004-2075
Phone: (719) 543-4016
Fax: (719) 542-6884
Website:
Map and Directions
Authorized official contact:
Name: Smith, Christopher John Doctor of Medicine (MD)
Phone: (719) 543-4016

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21599 Colorado

Profile Details

NPI number 1982893640
LBN Legal business name Family Medical Center Llc
DBA Doing business as
Authorized official Smith, Christopher John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2007
Last updated Mar 14th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982893640 NPPES
Colorado MEDICAID 01215995
Colorado Other 361918

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