Cottonwood Family Medicine

LBN: Ideal Family Healthcare Pc
Cottonwood Family Medicine is an health care organization with primary practice located at 335 Manitou Ave , Manitou Springs CO 80829. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Ideal Family Healthcare Pc can be contacted via phone (719) 686-8844, or through Sharp, Gregory Evan via phone (719) 686-8844.

Contact Information

Primary practice address
335 Manitou Ave Manitou Springs CO 80829
Phone: (719) 686-8844
Fax: (719) 686-7449
Website:
Map and Directions
Authorized official contact:
Name: Sharp, Gregory Evan Doctor of Medicine (MD)
Phone: (719) 686-8844

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1932385549
LBN Legal business name Ideal Family Healthcare Pc
DBA Doing business as Cottonwood Family Medicine
Authorized official Sharp, Gregory Evan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2008
Last updated Oct 15th, 2018 - about 7 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 1932385549 NPPES
Other DD3684 PALMETTO GBA

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