| |
4318 Trail Boss Dr Ste 100 Castle Rock CO 80104-7512 | |
(303) 338-4545 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 4318 Trail Boss Dr, Castle Rock, Colorado |
Authorized Official Name and Position | Michael S Ramseier (REGIONAL PRESIDENT) |
Authorized Official Contact | 3033447256 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10350 E Dakota Ave Denver CO 80247-1314 Ph: () - | 4318 Trail Boss Dr Ste 100 Castle Rock CO 80104-7512 Ph: (303) 338-4545 |
NPI Number | 1992012769 |
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Provider Enumeration Date | 09/01/2010 |
Last Update Date | 04/11/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992012769 | NPI | - | NPPES |
04020087 | Medicaid | CO | |
04510301 | Medicaid | CO | |
04710083 | Medicaid | CO | |
30478251 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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 | |