Rocky Mountain Primary Care , Pc | |
7625 W 92nd Ave Westminster CO 80021-4567 | |
(303) 252-7790 | |
(303) 650-2287 |
Full Name | Rocky Mountain Primary Care , Pc |
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Speciality | Family Medicine |
Location | 7625 W 92nd Ave, Westminster, Colorado |
Authorized Official Name and Position | Robin Campbell (ADMINISTRATOR) |
Authorized Official Contact | 2562829568 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rocky Mountain Primary Care , Pc 7625 W 92nd Ave Westminster CO 80021-4567 Ph: (303) 252-7790 | Rocky Mountain Primary Care , Pc 7625 W 92nd Ave Westminster CO 80021-4567 Ph: (303) 252-7790 |
NPI Number | 1215981634 |
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Provider Enumeration Date | 05/20/2006 |
Last Update Date | 12/11/2024 |
Medicare PECOS PAC ID | 3779471677 |
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Medicare Enrollment ID | O20040310000669 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215981634 | NPI | - | NPPES |
RO103008 | Other | CO | GROUP ANTHEM BCBS |
1215981634 | Other | CO | GROUP NPI # |
04020541 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Provider Name | Martha Muka Ives |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942289806 PECOS PAC ID: 5597750299 Enrollment ID: I20040420000577 |
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