| Blue Creek Family Medicine | |
|
1520 Evergreen Pkwy Evergreen CO 80439-7848 | |
| (303) 674-2273 | |
| Not Available |
| Full Name | Blue Creek Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1520 Evergreen Pkwy, Evergreen, Colorado |
| Authorized Official Name and Position | Kit K Brekhus (PRESIDENT) |
| Authorized Official Contact | 3036742273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Creek Family Medicine Po Box 1926 Evergreen CO 80437-1926 Ph: (303) 674-2273 | Blue Creek Family Medicine 1520 Evergreen Pkwy Evergreen CO 80439-7848 Ph: (303) 674-2273 |
| NPI Number | 1598701591 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 12/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598701591 | NPI | - | NPPES |
| BL661575 | Other | CO | BLUE SHIELD |
| CK5669 | Other | CO | RR MEDICARE |
| 45959234 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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