| Sangre De Cristo Family Practice Assoc., P.c. | |
|
712 Macon Ave Canon City CO 81212-3314 | |
| (719) 275-8646 | |
| (888) 484-0223 |
| Full Name | Sangre De Cristo Family Practice Assoc., P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 712 Macon Ave, Canon City, Colorado |
| Authorized Official Name and Position | Michael Wayne Banker (PRESIDENT) |
| Authorized Official Contact | 7192758646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sangre De Cristo Family Practice Assoc., P.c. 712 Macon Ave Canon City CO 81212-3314 Ph: (719) 275-8646 | Sangre De Cristo Family Practice Assoc., P.c. 712 Macon Ave Canon City CO 81212-3314 Ph: (719) 275-8646 |
| NPI Number | 1962536326 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 01/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962536326 | NPI | - | NPPES |
| 04119046 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 27050 (Colorado) | Primary |
Desert River Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 712 Macon Ave, Canon City, CO 81212 Phone: 719-285-8890 | |
Ncaldwell Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1338 Phay Ave, Canon City, CO 81212 Phone: 702-453-3799 Fax: 702-453-5741 | |
James F. Reppert, M.d. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1335 Phay Ave Ste A, Canon City, CO 81212 Phone: 719-275-4151 Fax: 719-275-3743 | |
Colorado Mountain Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 S 7th St Ste 112, Canon City, CO 81212 Phone: 719-299-0988 | |
Rocky Mountain Clinics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 Main St, Canon City, CO 81212 Phone: 209-309-1885 | |
Button Family Practice Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 715 South 9th Street, Canon City, CO 81212 Phone: 719-269-8820 Fax: 719-204-0230 | |
Marc A. Sindler, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 N 5th St, Canon City, CO 81212 Phone: 719-275-4137 |