| Elizabeth Family Health Pc | |
|
34061 Forest Park Dr Elizabeth CO 80107-7842 | |
| (303) 646-4071 | |
| (303) 646-0908 |
| Full Name | Elizabeth Family Health Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 34061 Forest Park Dr, Elizabeth, Colorado |
| Authorized Official Name and Position | Rebekah Lipka (CFO) |
| Authorized Official Contact | 3036465820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Family Health Pc Po Box 1272 Elizabeth CO 80107-1272 Ph: (303) 646-4071 | Elizabeth Family Health Pc 34061 Forest Park Dr Elizabeth CO 80107-7842 Ph: (303) 646-4071 |
| NPI Number | 1942404777 |
|---|---|
| Provider Enumeration Date | 06/14/2007 |
| Last Update Date | 06/24/2009 |
| Medicare PECOS PAC ID | 4587555156 |
|---|---|
| Medicare Enrollment ID | O20040323000805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942404777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Karen Ann Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285769158 PECOS PAC ID: 7315837820 Enrollment ID: I20040504000647 |
| Provider Name | Richard Douglas Leahy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538265897 PECOS PAC ID: 8325164494 Enrollment ID: I20100927000141 |
| Provider Name | Amilda L Heckman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124124441 PECOS PAC ID: 5092867341 Enrollment ID: I20101101001261 |
Centura Medical Group Primary Care Elizabeth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Elizabeth St Ste B, Elizabeth, CO 80107 Phone: 303-269-2551 Fax: 303-269-2552 |