| Primary Critical Care Limited Partnership | |
|
400 N Pepper Ave Colton CA 92324-1801 | |
| (909) 580-1000 | |
| Not Available |
| Full Name | Primary Critical Care Limited Partnership |
|---|---|
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 400 N Pepper Ave, Colton, California |
| Authorized Official Name and Position | Bruce T Gipe (PRESIDENT AND GENERAL PARTNER) |
| Authorized Official Contact | 8185092222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Critical Care Limited Partnership Po Box 998 North Hollywood CA 91603-0998 Ph: (818) 509-2222 | Primary Critical Care Limited Partnership 400 N Pepper Ave Colton CA 92324-1801 Ph: (909) 580-1000 |
| NPI Number | 1467410134 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 05/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467410134 | NPI | - | NPPES |
| GR0088733 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Primary |
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