Four Corners Foot And Ankle P.C.

LBN: Four Corners Foot And Ankle P.C.
Four Corners Foot And Ankle P.C. is an health care organization with primary practice located at 1266 Escalante Dr Suite 201, Durango CO 81301-7490. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty. Four Corners Foot And Ankle P.C. can be contacted via phone (970) 259-5303, or through Lake, Kayse L via phone (970) 259-5303.

Contact Information

Primary practice address
1266 Escalante Dr Suite 201 Durango CO 81301-7490
Phone: (970) 259-5303
Fax: (970) 259-3510
Website:
Map and Directions
Authorized official contact:
Name: Lake, Kayse L Doctor of Podiatric Medicine (DPM)
Phone: (970) 259-5303

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD710 Colorado
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X POD710 Colorado

Profile Details

NPI number 1629416342
LBN Legal business name Four Corners Foot And Ankle P.C.
DBA Doing business as
Authorized official Lake, Kayse L Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2013
Last updated Apr 20th, 2021 - about 3 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 1629416342 NPPES
Colorado MEDICAID 80527850
Colorado MEDICAID 51073277

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