| Rock Creek Family Medicine, P.c. | |
|
213 Carson Ave Alamosa CO 81101-2341 | |
| (719) 589-2370 | |
| Not Available |
| Full Name | Rock Creek Family Medicine, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 213 Carson Ave, Alamosa, Colorado |
| Authorized Official Name and Position | Martin Sowards (PHYSICIAN) |
| Authorized Official Contact | 7195892370 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rock Creek Family Medicine, P.c. 213 Carson Ave Alamosa CO 81101-2341 Ph: (719) 589-2370 | Rock Creek Family Medicine, P.c. 213 Carson Ave Alamosa CO 81101-2341 Ph: (719) 589-2370 |
| NPI Number | 1811976830 |
|---|---|
| Provider Enumeration Date | 01/10/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8325004948 |
|---|---|
| Medicare Enrollment ID | O20041206000796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811976830 | NPI | - | NPPES |
| 19428341 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Martin W Sowards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871578062 PECOS PAC ID: 4486610003 Enrollment ID: I20041207000655 |
| Provider Name | Michelle L Valdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114901931 PECOS PAC ID: 6204885817 Enrollment ID: I20050120000469 |
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