| Colorado Primary Health Care | |
|
20 W Dry Creek Cir Littleton CO 80120-4478 | |
| (303) 703-8583 | |
| (303) 703-9791 |
| Full Name | Colorado Primary Health Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 20 W Dry Creek Cir, Littleton, Colorado |
| Authorized Official Name and Position | Olga M Webber (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 3037038583 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Primary Health Care 20 W Dry Creek Cir Littleton CO 80120-4478 Ph: (303) 703-8583 | Colorado Primary Health Care 20 W Dry Creek Cir Littleton CO 80120-4478 Ph: (303) 703-8583 |
| NPI Number | 1508103961 |
|---|---|
| Provider Enumeration Date | 01/04/2013 |
| Last Update Date | 11/17/2023 |
| Certification Date | 11/17/2023 |
| Medicare PECOS PAC ID | 6608925813 |
|---|---|
| Medicare Enrollment ID | O20131122000269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508103961 | NPI | - | NPPES |
| 42951836 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 34784 (Colorado) | Primary |
| 363AM0700X | Physician Assistant - Medical | 3227 (Colorado) | Secondary |
| Provider Name | Andy M Fine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245261965 PECOS PAC ID: 0345273611 Enrollment ID: I20050916000292 |
| Provider Name | Maureen E Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346466869 PECOS PAC ID: 3375681828 Enrollment ID: I20150226000350 |
| Provider Name | Alison Nicole Lenz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114203379 PECOS PAC ID: 5395077812 Enrollment ID: I20191101000142 |
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