| Family Care Specialists, Inc. | |
|
201 Lamkin St Unit 101 Pueblo CO 81003-3476 | |
| (719) 543-6633 | |
| (719) 543-6655 |
| Full Name | Family Care Specialists, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 201 Lamkin St, Pueblo, Colorado |
| Authorized Official Name and Position | Nancy Louise Moya (OWNER) |
| Authorized Official Contact | 7195436633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Specialists, Inc. 201 Lamkin St Unit 101 Pueblo CO 81003-3476 Ph: (719) 543-6633 | Family Care Specialists, Inc. 201 Lamkin St Unit 101 Pueblo CO 81003-3476 Ph: (719) 543-6633 |
| NPI Number | 1992878664 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 02/16/2022 |
| Medicare PECOS PAC ID | 7214192665 |
|---|---|
| Medicare Enrollment ID | O20120710000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992878664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 38366 (Colorado) | Primary |
| Provider Name | Nancy L Moya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922177831 PECOS PAC ID: 8820253289 Enrollment ID: I20120710000280 |
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