| Thrive Health Systems | |
|
4209 Centennial Blvd Colorado Springs CO 80907-3770 | |
| (719) 475-8676 | |
| Not Available |
| Full Name | Thrive Health Systems |
|---|---|
| Speciality | Chiropractor |
| Location | 4209 Centennial Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Robyn Brackett (PRACTICE MANAGER) |
| Authorized Official Contact | 7194758676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Health Systems 20 Mount View Ln Ste C Colorado Springs CO 80907-4359 Ph: (949) 338-4851 | Thrive Health Systems 4209 Centennial Blvd Colorado Springs CO 80907-3770 Ph: (719) 475-8676 |
| NPI Number | 1982905907 |
|---|---|
| Provider Enumeration Date | 11/08/2010 |
| Last Update Date | 08/28/2023 |
| Medicare PECOS PAC ID | 3476724113 |
|---|---|
| Medicare Enrollment ID | O20110929000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982905907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | CO28074 (Colorado) | Secondary |
| 363A00000X | Physician Assistant | 00610 (Colorado) | Secondary |
| 111N00000X | Chiropractor | 5766 (Colorado) | Primary |
| Provider Name | Molly M Kallenbach |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033344874 PECOS PAC ID: 6507918836 Enrollment ID: I20090717000420 |
| Provider Name | Krystal Uthe |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922380427 PECOS PAC ID: 4688846868 Enrollment ID: I20120831000419 |
| Provider Name | William J Twyman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1588054340 PECOS PAC ID: 4880906783 Enrollment ID: I20150707001577 |
| Provider Name | Matthew David Spaur |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699127860 PECOS PAC ID: 2163792102 Enrollment ID: I20170724002485 |
| Provider Name | Samuel G Haman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174265292 PECOS PAC ID: 9638556756 Enrollment ID: I20220511001246 |
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