| Family Health Care Center | |
|
12001 W 63rd Place Arvada CO 80004 | |
| (303) 423-1360 | |
| (303) 423-1640 |
| Full Name | Family Health Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 12001 W 63rd Place, Arvada, Colorado |
| Authorized Official Name and Position | Ellice Kay Goldberg (PHYSICIAN) |
| Authorized Official Contact | 3034231360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Care Center 12001 W 63rd Place Arvada CO 80004 Ph: (303) 423-1360 | Family Health Care Center 12001 W 63rd Place Arvada CO 80004 Ph: (303) 423-1360 |
| NPI Number | 1780880419 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 03/31/2008 |
| Medicare PECOS PAC ID | 4880584952 |
|---|---|
| Medicare Enrollment ID | O20040319001368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780880419 | NPI | - | NPPES |
| 89035062 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ellice K Goldberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972618510 PECOS PAC ID: 1052385895 Enrollment ID: I20040825001576 |
| Provider Name | Shawna Leenette De Graff Roberson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265823256 PECOS PAC ID: 1557675576 Enrollment ID: I20150805006869 |
| Provider Name | John P Krueger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972588929 PECOS PAC ID: 8022022193 Enrollment ID: I20170508001426 |
| Provider Name | Devin M Gamundoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730593518 PECOS PAC ID: 9931418183 Enrollment ID: I20180118000954 |
Arvada Sport And Spine Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12189 W 64th Ave Ste 102, Arvada, CO 80004 Phone: 303-424-9549 | |
Douglas A Fairbairn Mdllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6816 Otis St, Arvada, CO 80003 Phone: 303-559-1111 Fax: 303-420-9349 | |
Sports And Family Medicine Of Colorado Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6390 Gardenia St Unit 140, Arvada, CO 80004 Phone: 720-898-1110 Fax: 720-898-1113 | |
Long Term Care & Rehab Consultants, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5792 Cole Ct, Arvada, CO 80002 Phone: 303-919-8318 | |
Candelas Clinic - Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15389 W 91st Dr Ste 100, Arvada, CO 80007 Phone: 303-603-9300 Fax: 720-501-6699 | |
Optum Primary Care Arvada Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7950 Kipling St Ste 101, Arvada, CO 80005 Phone: 303-425-4680 Fax: 303-425-1616 | |
Optumcare Colorado Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7950 Kipling St Ste 101, Arvada, CO 80005 Phone: 303-425-4680 Fax: 303-425-1616 |