Abc Family Medical Care

LBN: Abc Family Medical Care
Abc Family Medical Care is an health care organization with primary practice located at 125 Swope Ave , Colorado Springs CO 80909-5832. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Abc Family Medical Care can be contacted via phone (719) 634-4746, or through Waldman, Randolph William via phone (719) 634-4746.

Contact Information

Primary practice address
125 Swope Ave Colorado Springs CO 80909-5832
Fax: (719) 634-5024
Website:
Authorized official contact:
Name: Waldman, Randolph William Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40634 Colorado

Profile Details

NPI number 1922157874
LBN Legal business name Abc Family Medical Care
DBA Doing business as
Authorized official Waldman, Randolph William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Jun 13th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922157874 NPPES
Colorado MEDICAID 77389573

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