| Springs Gastroenterology, Pllc | |
|
160 W Fillmore St Colorado Springs CO 80907-6155 | |
| (719) 636-1299 | |
| (719) 636-9166 |
| Full Name | Springs Gastroenterology, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 160 W Fillmore St, Colorado Springs, Colorado |
| Authorized Official Name and Position | James Hor (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 7197618005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Springs Gastroenterology, Pllc Po Box 15497 Colorado Springs CO 80935-5497 Ph: (719) 473-4030 | Springs Gastroenterology, Pllc 160 W Fillmore St Colorado Springs CO 80907-6155 Ph: (719) 636-1299 |
| NPI Number | 1285783092 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 04/29/2020 |
| Medicare PECOS PAC ID | 4284729484 |
|---|---|
| Medicare Enrollment ID | O20071003000321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285783092 | NPI | - | NPPES |
| 68682794 | Medicaid | CO | |
| SPB65018 | Other | CO | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Colorado) | Primary |
| Provider Name | Kem S Hor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629155205 PECOS PAC ID: 5698874196 Enrollment ID: I20070625000471 |
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