Otero Emergency Group Llc

LBN: Otero Emergency Group Llc
Otero Emergency Group Llc is an health care organization with primary practice located at 1100 Carson Ave , La Junta CO 81050-2751. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Otero Emergency Group Llc can be contacted via phone (870) 239-7138, or through Schumacher, William via phone (800) 893-9698.

Contact Information

Primary practice address
1100 Carson Ave La Junta CO 81050-2751
Phone: (870) 239-7138
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Schumacher, William Doctor of Medicine (MD)
Phone: (800) 893-9698

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1467420067
LBN Legal business name Otero Emergency Group Llc
DBA Doing business as
Authorized official Schumacher, William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2006
Last updated Jan 23rd, 2008 - about 17 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 1467420067 NPPES
Colorado MEDICAID 82252530

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