| |
360 Peak One Drive Suite 100 Frisco CO 80443 | |
(970) 668-4040 | |
(970) 668-6699 |
Full Name | |
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Speciality | Clinic/Center |
Location | 360 Peak One Drive, Frisco, Colorado |
Authorized Official Name and Position | Josh Cogdill (CEO) |
Authorized Official Contact | 9706684040 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 4337 360 Peak One Drive, Suite 100 Frisco CO 80443-4337 Ph: (970) 668-4040 | 360 Peak One Drive Suite 100 Frisco CO 80443 Ph: (970) 668-4040 |
NPI Number | 1831219328 |
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Provider Enumeration Date | 03/30/2007 |
Last Update Date | 12/27/2024 |
Medicare PECOS PAC ID | 8022284074 |
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Medicare Enrollment ID | O20120517000087 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831219328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Tammy D Cayou |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124127253 PECOS PAC ID: 5496732182 Enrollment ID: I20040701000032 |
Provider Name | Colleen D. Ihnken |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124193586 PECOS PAC ID: 1153405212 Enrollment ID: I20080227000718 |
Provider Name | Kathleen C Cowie |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215117940 PECOS PAC ID: 5890832232 Enrollment ID: I20091016000497 |
Provider Name | Gemma C Taylor |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154715837 PECOS PAC ID: 3971819657 Enrollment ID: I20150825005335 |
Provider Name | Joshua Steven Rusk |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679830087 PECOS PAC ID: 2062654361 Enrollment ID: I20151026000812 |
Provider Name | James Travis Kuster |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295252781 PECOS PAC ID: 3779849039 Enrollment ID: I20171102002143 |
Provider Name | Tara A Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427549229 PECOS PAC ID: 4183973266 Enrollment ID: I20180822003216 |
Provider Name | Jennifer Procter Kagan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194209379 PECOS PAC ID: 6901142652 Enrollment ID: I20190116003592 |
Provider Name | Valeria Isabel Rojo |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447703715 PECOS PAC ID: 9537407705 Enrollment ID: I20190213001684 |
Provider Name | Martine Binstock |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497868723 PECOS PAC ID: 8921905415 Enrollment ID: I20200113000369 |
Provider Name | Constance R Cummins |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154093672 PECOS PAC ID: 2062802168 Enrollment ID: I20211203001956 |
Provider Name | Jennifer Whitney Fehr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205554797 PECOS PAC ID: 5092181651 Enrollment ID: I20221021002721 |
Provider Name | Megan Maya Lachance |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750847505 PECOS PAC ID: 1557726346 Enrollment ID: I20230501001222 |
Provider Name | Caitlin Yost |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942719984 PECOS PAC ID: 3274999743 Enrollment ID: I20230525002785 |
Provider Name | Jennifer Camello Tomback |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316566227 PECOS PAC ID: 4284056979 Enrollment ID: I20230914001372 |
Provider Name | Juliana Kagan |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689317927 PECOS PAC ID: 1355790072 Enrollment ID: I20231206003851 |
Provider Name | Marisa Soltis |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1396327169 PECOS PAC ID: 6608228705 Enrollment ID: I20240113000028 |
Provider Name | Emilie Dundee Wood |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1063173490 PECOS PAC ID: 2365885530 Enrollment ID: I20240206000116 |
Colorado Mountain Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 W Main St Ste 101, Frisco, CO 80443 Phone: 970-926-6340 Fax: 970-926-6348 | |
Rocky Mountain Regional Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Peak One Drive, Suite 260, Frisco, CO 80443 Phone: 970-668-1791 Fax: 970-668-1792 | |
Children's Hospital Colorado Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 N Summit Blvd # 101, Frisco, CO 80443 Phone: 970-668-1616 |