| Dr Higgins Family Practice Pc | |
|
1304 N Academy Blvd Suite 208 Colorado Springs CO 80909-3325 | |
| (719) 596-6700 | |
| (719) 596-6702 |
| Full Name | Dr Higgins Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1304 N Academy Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Charles P Higgins (PRESIDENT) |
| Authorized Official Contact | 7195966700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Higgins Family Practice Pc 1304 N Academy Blvd Suite 208 Colorado Springs CO 80909-3325 Ph: (719) 596-6700 | Dr Higgins Family Practice Pc 1304 N Academy Blvd Suite 208 Colorado Springs CO 80909-3325 Ph: (719) 596-6700 |
| NPI Number | 1194731612 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 04/13/2014 |
| Medicare PECOS PAC ID | 8224036777 |
|---|---|
| Medicare Enrollment ID | O20061117000317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194731612 | NPI | - | NPPES |
| 88584241 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 26859 (Colorado) | Primary |
| Provider Name | Charles Patrick Higgins |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1083653307 PECOS PAC ID: 0042217994 Enrollment ID: I20061107000211 |
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