East West Family Health Llc | |
8200 E. Belleview Avenue Suite 203-c Greenwood Village CO 80111-2835 | |
(303) 221-6797 | |
(303) 221-4563 |
Full Name | East West Family Health Llc |
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Speciality | Family Medicine |
Location | 8200 E. Belleview Avenue, Greenwood Village, Colorado |
Authorized Official Name and Position | Floyd B Russak (OWNER/PHYSICIAN) |
Authorized Official Contact | 3035918161 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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East West Family Health Llc 8200 E. Belleview Avenue Suite 203-c Greenwood Village CO 80111-2835 Ph: (303) 221-6797 | East West Family Health Llc 8200 E. Belleview Avenue Suite 203-c Greenwood Village CO 80111-2835 Ph: (303) 221-6797 |
NPI Number | 1417402918 |
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Provider Enumeration Date | 08/25/2016 |
Last Update Date | 05/29/2019 |
Medicare PECOS PAC ID | 6002165933 |
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Medicare Enrollment ID | O20180824002591 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417402918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35559 (Colorado) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Provider Name | Floyd B Russak |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902898984 PECOS PAC ID: 3173587706 Enrollment ID: I20060105000377 |
Provider Name | Beatriz P Linn |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366433096 PECOS PAC ID: 8820163223 Enrollment ID: I20090302000280 |
Provider Name | Gilberto R Miranda |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1528598059 PECOS PAC ID: 5395146799 Enrollment ID: I20210623000792 |
Provider Name | Jordan C Walker |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1770119729 PECOS PAC ID: 4981064029 Enrollment ID: I20230720001649 |
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