| Home Call Medical Llc | |
|
1624 S 21st St Ste B Colorado Springs CO 80904-4296 | |
| (719) 955-3621 | |
| Not Available |
| Full Name | Home Call Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1624 S 21st St Ste B, Colorado Springs, Colorado |
| Authorized Official Name and Position | Predrag Pavlovic (OWNER) |
| Authorized Official Contact | 8174033657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Call Medical Llc 1624 S 21st St Ste B Colorado Springs CO 80904-4296 Ph: (719) 955-3621 | Home Call Medical Llc 1624 S 21st St Ste B Colorado Springs CO 80904-4296 Ph: (719) 955-3621 |
| NPI Number | 1477096964 |
|---|---|
| Provider Enumeration Date | 12/01/2016 |
| Last Update Date | 12/03/2021 |
| Medicare PECOS PAC ID | 0749565190 |
|---|---|
| Medicare Enrollment ID | O20170327001129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477096964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Predrag Pavlovic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659695625 PECOS PAC ID: 1557525938 Enrollment ID: I20150819007310 |
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