| Northside Family Medicine, Pc | |
|
11487 Ames Ct Westminster CO 80020-6836 | |
| (303) 905-2351 | |
| (303) 603-9420 |
| Full Name | Northside Family Medicine, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 11487 Ames Ct, Westminster, Colorado |
| Authorized Official Name and Position | Timothy M Lewan (PRESIDENT) |
| Authorized Official Contact | 3039052351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Family Medicine, Pc 11487 Ames Ct Westminster CO 80020-6836 Ph: (303) 905-2351 | Northside Family Medicine, Pc 11487 Ames Ct Westminster CO 80020-6836 Ph: (303) 905-2351 |
| NPI Number | 1700843752 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 01/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700843752 | NPI | - | NPPES |
| 67286861 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 39800 (Colorado) | Primary |
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