| Rocky Mountain Primary Care Management Service Organization, Inc. | |
|
7625 W 92nd Ave Westminster CO 80021-4567 | |
| (303) 252-7790 | |
| (303) 650-2287 |
| Full Name | Rocky Mountain Primary Care Management Service Organization, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 7625 W 92nd Ave, Westminster, Colorado |
| Authorized Official Name and Position | Denise Duysen (ADMINISTRATOR) |
| Authorized Official Contact | 3032050113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountain Primary Care Management Service Organization, Inc. 7625 W 92nd Ave Westminster CO 80021-4567 Ph: (303) 252-7790 | Rocky Mountain Primary Care Management Service Organization, Inc. 7625 W 92nd Ave Westminster CO 80021-4567 Ph: (303) 252-7790 |
| NPI Number | 1215981634 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 03/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215981634 | NPI | - | NPPES |
| 04020541 | Medicaid | CO | |
| 1215981634 | Other | CO | GROUP NPI # |
| RO103008 | Other | CO | GROUP ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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