| Family Care Southwest, P.c. | |
|
6169 S Balsam Way Suite 250 Littleton CO 80123-3062 | |
| (303) 933-8886 | |
| (303) 933-8147 |
| Full Name | Family Care Southwest, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6169 S Balsam Way, Littleton, Colorado |
| Authorized Official Name and Position | Michael Mills Kiley (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 3039338886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Southwest, P.c. 6169 S Balsam Way Suite 250 Littleton CO 80123-3062 Ph: (303) 933-8886 | Family Care Southwest, P.c. 6169 S Balsam Way Suite 250 Littleton CO 80123-3062 Ph: (303) 933-8886 |
| NPI Number | 1720273717 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 09/12/2007 |
| Medicare PECOS PAC ID | 2062404510 |
|---|---|
| Medicare Enrollment ID | O20040402000420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720273717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Robert M Sims |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437152931 PECOS PAC ID: 4587752530 Enrollment ID: I20080121000216 |
| Provider Name | Helen M Story |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811996838 PECOS PAC ID: 4183728736 Enrollment ID: I20110104001254 |
| Provider Name | Nicholas A Senna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972944056 PECOS PAC ID: 2769701713 Enrollment ID: I20170109000140 |
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