Loma Vista General And Family Practice
LBN: Loma Vista General And Family Practice
Loma Vista General And Family Practice is an health care organization with primary practice located at 2201 San Juan Ave , La Junta CO 81050-3323. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty.
Loma Vista General And Family Practice can be contacted via phone (719) 384-8181, or through Schmucker, Marion Lee via phone (719) 384-8181.
Contact Information
Primary practice address
2201 San Juan Ave
La Junta CO 81050-3323
Phone: (719) 384-8181
Fax: (719) 384-4872
Website:
Authorized official contact:
Name: Schmucker, Marion Lee Doctor of Medicine (MD)
Phone: (719) 384-8181
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0992269-NP | Colorado |
Profile Details
| NPI number | 1407219579 |
|---|---|
| LBN Legal business name | Loma Vista General And Family Practice |
| DBA Doing business as | |
| Authorized official | Schmucker, Marion Lee Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 5th, 2016 |
| Last updated | Apr 5th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407219579 | NPPES |
| Colorado | Other | 0992269-NP | COLORADO STATE LICENSE |
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