| Pueblo Family Medicine, Pc | |
|
1600 N Grand Ave Ste 310 Pueblo CO 81003-2729 | |
| (719) 542-0072 | |
| (719) 542-9888 |
| Full Name | Pueblo Family Medicine, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1600 N Grand Ave Ste 310, Pueblo, Colorado |
| Authorized Official Name and Position | Gregory W Berens (PRESIDENT) |
| Authorized Official Contact | 7195420072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pueblo Family Medicine, Pc 1600 N Grand Ave Ste 310 Pueblo CO 81003-2729 Ph: (719) 542-0072 | Pueblo Family Medicine, Pc 1600 N Grand Ave Ste 310 Pueblo CO 81003-2729 Ph: (719) 542-0072 |
| NPI Number | 1114149986 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 01/22/2010 |
| Medicare PECOS PAC ID | 1456327006 |
|---|---|
| Medicare Enrollment ID | O20040907000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114149986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Colorado) | Primary |
| Provider Name | Gregory W Berens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245295013 PECOS PAC ID: 6709941560 Enrollment ID: I20090211000762 |
| Provider Name | Guy L Kemling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154386795 PECOS PAC ID: 4486812666 Enrollment ID: I20120220000230 |
| Provider Name | Nancy S Chuch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154386365 PECOS PAC ID: 8729241807 Enrollment ID: I20120530000334 |
Melchor Sipalay Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Lake Ave, Pueblo, CO 81004 Phone: 719-564-0300 Fax: 719-564-0303 | |
Pueblo Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 N Monument Ave, Pueblo, CO 81001 Phone: 719-543-8711 Fax: 719-543-5340 | |
Digestive Diseases Specialists Of Colorado,llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1600 N Grand Ave, Suite 440, Pueblo, CO 81003 Phone: 719-543-3500 Fax: 719-543-3504 | |
Aleracare Of Colorado, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1303 Fortino Blvd, Pueblo, CO 81008 Phone: 888-209-8874 | |
American Current Care P.a . Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4117 N Elizabeth St, Pueblo, CO 81008 Phone: 719-545-0788 | |
Front Range Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1249 E Routt Ave, Pueblo, CO 81004 Phone: 720-808-0051 | |
Health Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1302 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 |