South Logan Family Practice Center

LBN: South Logan Family Practice Center
South Logan Family Practice Center is an health care organization with primary practice located at 895 S Logan St , Denver CO 80209-4197. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. South Logan Family Practice Center can be contacted via phone (303) 733-3764, or through Laws, Vicki via phone (303) 733-3764.

Contact Information

Primary practice address
895 S Logan St Denver CO 80209-4197
Phone: (303) 733-3764
Fax: (303) 733-0868
Website:
Map and Directions
Authorized official contact:
Name: Laws, Vicki
Phone: (303) 733-3764

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26202 Colorado

Profile Details

NPI number 1053519868
LBN Legal business name South Logan Family Practice Center
DBA Doing business as
Authorized official Laws, Vicki
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2007
Last updated May 6th, 2009 - 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 1053519868 NPPES
Colorado MEDICAID 01262021

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