| Gaps Health Co P.c. | |
|
1637 29th Avenue Pl Greeley CO 80634-6822 | |
| (970) 356-8181 | |
| Not Available |
| Full Name | Gaps Health Co P.c. |
|---|---|
| Speciality | General Practice |
| Location | 1637 29th Avenue Pl, Greeley, Colorado |
| Authorized Official Name and Position | Jody Hunter (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 7348120996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaps Health Co P.c. 5319 Betheny Cir Superior Twp MI 48198-9653 Ph: (682) 206-3118 | Gaps Health Co P.c. 1637 29th Avenue Pl Greeley CO 80634-6822 Ph: (970) 356-8181 |
| NPI Number | 1457973315 |
|---|---|
| Provider Enumeration Date | 05/14/2020 |
| Last Update Date | 05/14/2020 |
| Medicare PECOS PAC ID | 0749601383 |
|---|---|
| Medicare Enrollment ID | O20200605002130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457973315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Purnima Sobha Balla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699958900 PECOS PAC ID: 0042409948 Enrollment ID: I20161205001374 |
| Provider Name | David Clayton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902037476 PECOS PAC ID: 2062319973 Enrollment ID: I20200806001665 |
| Provider Name | Sonali Wilborn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164523247 PECOS PAC ID: 0446317358 Enrollment ID: I20210125000660 |
| Provider Name | Mansoor Ahmad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639583321 PECOS PAC ID: 2365747862 Enrollment ID: I20210722003043 |
| Provider Name | Kenneth Dean Archer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083654123 PECOS PAC ID: 6800897075 Enrollment ID: I20230713001573 |
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