Prairie View Family Care, Llc | |
7641 Mclaughlin Rd Falcon CO 80831-4715 | |
(719) 661-5886 | |
Not Available |
Full Name | Prairie View Family Care, Llc |
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Speciality | Clinic/Center |
Location | 7641 Mclaughlin Rd, Falcon, Colorado |
Authorized Official Name and Position | Karen Jill Migliaccio (FAMILY NURSE PRACTITIONER/OWNER) |
Authorized Official Contact | 7196615886 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Prairie View Family Care, Llc 7641 Mclaughlin Rd Falcon CO 80831-4715 Ph: (719) 661-5886 | Prairie View Family Care, Llc 7641 Mclaughlin Rd Falcon CO 80831-4715 Ph: (719) 661-5886 |
NPI Number | 1902176704 |
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Provider Enumeration Date | 01/10/2012 |
Last Update Date | 01/10/2012 |
Medicare PECOS PAC ID | 0042472862 |
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Medicare Enrollment ID | O20120424000292 |
Identifier | Type | State | Issuer |
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1902176704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Karen J Migliaccio |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518977297 PECOS PAC ID: 5991833154 Enrollment ID: I20100507000542 |
Uchealth Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11605 Meridian Market Vw Ste 184, Falcon, CO 80831 Phone: 719-364-9560 Fax: 719-364-7680 |