| Big Sky Medicine Pc | |
|
1520 Evergreen Pkwy Evergreen CO 80439-7848 | |
| (303) 674-2273 | |
| (303) 670-2160 |
| Full Name | Big Sky Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1520 Evergreen Pkwy, Evergreen, Colorado |
| Authorized Official Name and Position | Mary Sulli (GENERAL MANAGER) |
| Authorized Official Contact | 3036742273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Sky Medicine Pc Po Box 1926 Evergreen CO 80437-1926 Ph: (303) 674-2273 | Big Sky Medicine Pc 1520 Evergreen Pkwy Evergreen CO 80439-7848 Ph: (303) 674-2273 |
| NPI Number | 1164473088 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 12/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164473088 | NPI | - | NPPES |
| CK7854 | Other | CO | RAILROAD MEDICARE |
| 73387738 | Medicaid | CO | |
| BI642581 | Other | CO | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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