| Columbine Family Care Pc | |
|
20 Lakeview Drive Suite 204 Nederland CO 80466 | |
| (303) 258-9355 | |
| (303) 258-3382 |
| Full Name | Columbine Family Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 20 Lakeview Drive, Nederland, Colorado |
| Authorized Official Name and Position | Michael Anthony Camarata (OWNER) |
| Authorized Official Contact | 3032589355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbine Family Care Pc Po Box 127 Nederland CO 80466-0127 Ph: (303) 258-9355 | Columbine Family Care Pc 20 Lakeview Drive Suite 204 Nederland CO 80466 Ph: (303) 258-9355 |
| NPI Number | 1801198270 |
|---|---|
| Provider Enumeration Date | 11/17/2010 |
| Last Update Date | 07/07/2017 |
| Medicare PECOS PAC ID | 5799963062 |
|---|---|
| Medicare Enrollment ID | O20110711000441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801198270 | NPI | - | NPPES |
| 79400566 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 37684 (Colorado) | Primary |
| Provider Name | Michael Anthony Camarata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477679017 PECOS PAC ID: 1951390376 Enrollment ID: I20040511000521 |
Clinica Campesina Family Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 80 Big Springs Dr Ste 102, Nederland, CO 80466 Phone: 303-650-4460 | |
Columbine Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Hwy 72 W, Nederland, CO 80466 Phone: 303-258-9355 Fax: 303-258-9356 | |
Mountain Family Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 E. Lakeview Dr., Suite 205, Nederland, CO 80466 Phone: 303-258-3206 Fax: 303-258-7302 |