| Family Centered Medicine, Inc | |
|
2121 S Oneida St Ste 248 Denver CO 80224-2551 | |
| (303) 504-0600 | |
| Not Available |
| Full Name | Family Centered Medicine, Inc |
|---|---|
| Speciality | General Practice |
| Location | 2121 S Oneida St Ste 248, Denver, Colorado |
| Authorized Official Name and Position | Peter Thomas Prutch (OWNER) |
| Authorized Official Contact | 3035040600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Centered Medicine, Inc 2121 S Oneida St Ste 248 Denver CO 80224-2551 Ph: (303) 504-0600 | Family Centered Medicine, Inc 2121 S Oneida St Ste 248 Denver CO 80224-2551 Ph: (303) 504-0600 |
| NPI Number | 1972773232 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 03/03/2008 |
| Medicare PECOS PAC ID | 3870519101 |
|---|---|
| Medicare Enrollment ID | O20051017000587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972773232 | NPI | - | NPPES |
| 15883825 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Peter T Prutch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497792543 PECOS PAC ID: 4688690910 Enrollment ID: I20051017000610 |
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