Sunrise Health Care, Pc | |
4020 Palmer Park Blvd Suite 101b Colorado Springs CO 80909-3433 | |
(719) 577-9977 | |
(719) 577-9911 |
Full Name | Sunrise Health Care, Pc |
---|---|
Speciality | Family Medicine |
Location | 4020 Palmer Park Blvd, Colorado Springs, Colorado |
Authorized Official Name and Position | Grace N Nweke (PRESIDENT) |
Authorized Official Contact | 7195779977 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sunrise Health Care, Pc 4020 Palmer Park Blvd Suite 101b Colorado Springs CO 80909-3433 Ph: (719) 577-9977 | Sunrise Health Care, Pc 4020 Palmer Park Blvd Suite 101b Colorado Springs CO 80909-3433 Ph: (719) 577-9977 |
NPI Number | 1164662052 |
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Provider Enumeration Date | 03/05/2009 |
Last Update Date | 03/14/2017 |
Medicare PECOS PAC ID | 2062561186 |
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Medicare Enrollment ID | O20090520000540 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164662052 | NPI | - | NPPES |
74575724 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | 34753 (Colorado) | Secondary |
Provider Name | Richard C Gamuac |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1174576037 PECOS PAC ID: 3173566676 Enrollment ID: I20050606000943 |
Provider Name | Grace N Nweke |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346209384 PECOS PAC ID: 1456371491 Enrollment ID: I20051205000897 |
Provider Name | Jodi Ann Obirek |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881969574 PECOS PAC ID: 2264850494 Enrollment ID: I20200918002602 |
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