| Heritage Hills Family Medicine, P.c | |
|
9218 Kimmer Dr Suite 102 Lone Tree CO 80124-6732 | |
| (303) 792-3333 | |
| (303) 792-3361 |
| Full Name | Heritage Hills Family Medicine, P.c |
|---|---|
| Speciality | Family Medicine |
| Location | 9218 Kimmer Dr, Lone Tree, Colorado |
| Authorized Official Name and Position | Andreas J Edrich (OWNER) |
| Authorized Official Contact | 3037923333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Hills Family Medicine, P.c 9218 Kimmer Dr Suite 102 Lone Tree CO 80124-6732 Ph: (303) 792-3333 | Heritage Hills Family Medicine, P.c 9218 Kimmer Dr Suite 102 Lone Tree CO 80124-6732 Ph: (303) 792-3333 |
| NPI Number | 1023277944 |
|---|---|
| Provider Enumeration Date | 06/05/2008 |
| Last Update Date | 10/14/2010 |
| Medicare PECOS PAC ID | 6002705878 |
|---|---|
| Medicare Enrollment ID | O20040311000692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023277944 | NPI | - | NPPES |
| 28230779 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 282N00000X | General Acute Care Hospital | 37249 (Colorado) | Secondary |
| Provider Name | Andreas J Edrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982665568 PECOS PAC ID: 0446149124 Enrollment ID: I20101115001318 |
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