| Charis Medical Center Inc | |
|
2150 Academy Cir Ste A Colorado Springs CO 80909-1676 | |
| (719) 645-8137 | |
| (719) 344-9768 |
| Full Name | Charis Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2150 Academy Cir Ste A, Colorado Springs, Colorado |
| Authorized Official Name and Position | Linus Akamangwa (PHYSICIAN) |
| Authorized Official Contact | 5749046082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charis Medical Center Inc 555 E Costilla St Colorado Springs CO 80903-3764 Ph: (574) 904-6082 | Charis Medical Center Inc 2150 Academy Cir Ste A Colorado Springs CO 80909-1676 Ph: (719) 645-8137 |
| NPI Number | 1205466026 |
|---|---|
| Provider Enumeration Date | 01/21/2020 |
| Last Update Date | 06/25/2020 |
| Medicare PECOS PAC ID | 1153750252 |
|---|---|
| Medicare Enrollment ID | O20200409003098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205466026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Linus N Akamangwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740471069 PECOS PAC ID: 2668567454 Enrollment ID: I20200409003328 |
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