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4386 Trail Boss Dr Castle Rock CO 80104-7512 | |
(303) 688-8666 | |
(303) 688-8260 |
Full Name | |
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Speciality | Family Medicine |
Location | 4386 Trail Boss Dr, Castle Rock, Colorado |
Authorized Official Name and Position | Doris A Kleinert (OWNER) |
Authorized Official Contact | 3036888666 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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4386 Trail Boss Dr Suite A Castle Rock CO 80104-7512 Ph: (303) 688-8666 | 4386 Trail Boss Dr Castle Rock CO 80104-7512 Ph: (303) 688-8666 |
NPI Number | 1578594727 |
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Provider Enumeration Date | 07/06/2006 |
Last Update Date | 01/24/2011 |
Medicare PECOS PAC ID | 5597781666 |
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Medicare Enrollment ID | O20051018000742 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578594727 | NPI | - | NPPES |
44931841 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Doris A Kleinert |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861474751 PECOS PAC ID: 2365436946 Enrollment ID: I20040414001520 |
Provider Name | John Thomas Campbell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053373415 PECOS PAC ID: 6901873165 Enrollment ID: I20040916000102 |
Three Oaks Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1161 S Perry St, Suite 100, Castle Rock, CO 80104 Phone: 303-688-5456 Fax: 303-688-5924 | |
Center Pointe Family Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Oakwood Park Plz Ste 101, Castle Rock, CO 80104 Phone: 719-282-6100 | |
Portercare Adventist Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2356 Meadows Blvd Ste 140b, Castle Rock, CO 80109 Phone: 303-218-7774 Fax: 303-660-5065 | |