| Surface Creek Family Practice Pc | |
|
255 Sw 8th Ave Cedaredge CO 81413 | |
| (970) 856-3146 | |
| (970) 806-4385 |
| Full Name | Surface Creek Family Practice Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 255 Sw 8th Ave, Cedaredge, Colorado |
| Authorized Official Name and Position | Kevin L Pulsipher (PRESIDENT) |
| Authorized Official Contact | 9708563146 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Surface Creek Family Practice Pc 255 Sw 8th Ave Cedaredge CO 81413 Ph: (970) 856-3146 | Surface Creek Family Practice Pc 255 Sw 8th Ave Cedaredge CO 81413 Ph: (970) 856-3146 |
| NPI Number | 1326648254 |
|---|---|
| Provider Enumeration Date | 10/29/2020 |
| Last Update Date | 10/29/2020 |
| Medicare PECOS PAC ID | 3870575053 |
|---|---|
| Medicare Enrollment ID | O20040602000671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326648254 | NPI | - | NPPES |
| 9000145531 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
| Provider Name | Kevin L Pulsipher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093754491 PECOS PAC ID: 4385626563 Enrollment ID: I20100324000530 |
| Provider Name | Timothy C Meilner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467583450 PECOS PAC ID: 9335172493 Enrollment ID: I20100916001264 |
| Provider Name | Kathryn A Mccullough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205452141 PECOS PAC ID: 3072924356 Enrollment ID: I20201117001093 |
Delta Health Cedaredge Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 S Grand Mesa Dr, Cedaredge, CO 81413 Phone: 970-856-4111 Fax: 970-399-2859 | |
Cedar Point Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 Sw 8th Ave, Cedaredge, CO 81413 Phone: 970-249-7751 Fax: 970-541-9806 | |
Millennium Regenerative Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 175 E Main St, Cedaredge, CO 81413 Phone: 970-856-4729 | |
Cedar Point Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 S Grand Mesa Dr, Cedaredge, CO 81413 Phone: 970-856-4111 Fax: 970-856-4114 | |
Cedaredge Doctors Office Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 255 S Grand Mesa Dr, Cedaredge, CO 81413 Phone: 970-399-2611 Fax: 970-856-4114 |