| Your Family Medical Home,pllc | |
|
435 N Park Av Suite 2a Breckenridge CO 80424 | |
| (970) 238-7070 | |
| (970) 453-5332 |
| Full Name | Your Family Medical Home,pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 435 N Park Av, Breckenridge, Colorado |
| Authorized Official Name and Position | John David Zaitz (ADMINISTRATOR) |
| Authorized Official Contact | 9255970121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Family Medical Home,pllc Po Box 5620 Breckenridge CO 80424-5620 Ph: (970) 238-7070 | Your Family Medical Home,pllc 435 N Park Av Suite 2a Breckenridge CO 80424 Ph: (970) 238-7070 |
| NPI Number | 1720301344 |
|---|---|
| Provider Enumeration Date | 03/10/2010 |
| Last Update Date | 08/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720301344 | NPI | - | NPPES |
| 01319755 | Medicaid | CO | |
| 81751737 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 31975 (Colorado) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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