Oak Creek Family Practice Pc

LBN: Oak Creek Family Practice Pc
Oak Creek Family Practice Pc is an health care organization with primary practice located at 2400 Edison St , Brush CO 80723-1640. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Oak Creek Family Practice Pc can be contacted via phone (702) 453-3799, or through Dillon, Robert Randy via phone (719) 276-0725.

Contact Information

Primary practice address
2400 Edison St Brush CO 80723-1640
Phone: (702) 453-3799
Fax: (702) 453-5741
Website:
Map and Directions
Authorized official contact:
Name: Dillon, Robert Randy Doctor of Medicine (MD)
Phone: (719) 276-0725

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35220 Colorado

Profile Details

NPI number 1952442600
LBN Legal business name Oak Creek Family Practice Pc
DBA Doing business as
Authorized official Dillon, Robert Randy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Nov 13th, 2015 - about 10 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 1952442600 NPPES
Colorado MEDICAID 78054222

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