| Vcphcs X, Llc | |
|
850 23rd Ave Ste A Longmont CO 80501-1115 | |
| (303) 245-0123 | |
| (303) 245-0119 |
| Full Name | Vcphcs X, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 850 23rd Ave Ste A, Longmont, Colorado |
| Authorized Official Name and Position | Jay Higham (CEO) |
| Authorized Official Contact | 2143656112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vcphcs X, Llc 5001 Spring Valley Road Suite 600 East Dallas TX 75244-8217 Ph: (512) 966-1235 | Vcphcs X, Llc 850 23rd Ave Ste A Longmont CO 80501-1115 Ph: (303) 245-0123 |
| NPI Number | 1831817048 |
|---|---|
| Provider Enumeration Date | 08/15/2022 |
| Last Update Date | 08/15/2022 |
| Certification Date | 08/12/2022 |
| Medicare PECOS PAC ID | 9931418696 |
|---|---|
| Medicare Enrollment ID | O20151020000700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831817048 | NPI | - | NPPES |
| Provider Name | Martin A Bloch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700989670 PECOS PAC ID: 2062324395 Enrollment ID: I20040902001053 |
| Provider Name | Sharon A Pendlebury |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811953482 PECOS PAC ID: 3870508112 Enrollment ID: I20060208000380 |
| Provider Name | Robert D Oakley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427052943 PECOS PAC ID: 1355333428 Enrollment ID: I20070619000520 |
| Provider Name | Mohammed Zubair |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306093513 PECOS PAC ID: 6709941123 Enrollment ID: I20090219000216 |
| Provider Name | Virginia Lee Richey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992969398 PECOS PAC ID: 3870764459 Enrollment ID: I20110913000300 |
| Provider Name | Natasha K Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417274739 PECOS PAC ID: 5698917003 Enrollment ID: I20151027000973 |
| Provider Name | Jennifer A Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023679628 PECOS PAC ID: 9739512906 Enrollment ID: I20191202000287 |
| Provider Name | Michael W Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093351421 PECOS PAC ID: 6608205547 Enrollment ID: I20200329000506 |
| Provider Name | Jenna Danielle Lowstuter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124649942 PECOS PAC ID: 2668803289 Enrollment ID: I20200515001065 |
| Provider Name | Erin R Slocum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457922601 PECOS PAC ID: 0749685162 Enrollment ID: I20210824001583 |
| Provider Name | Linh Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952807943 PECOS PAC ID: 9032464649 Enrollment ID: I20211104000959 |
| Provider Name | Lauran A Wirfs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013414077 PECOS PAC ID: 5890042782 Enrollment ID: I20220427002254 |
| Provider Name | Taylour Munro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063916864 PECOS PAC ID: 4688921042 Enrollment ID: I20220928002949 |
| Provider Name | Rachel Marie Nease |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376152272 PECOS PAC ID: 3072981265 Enrollment ID: I20221118001765 |
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