South Federal Family Practice

LBN: South Federal Family Practice
South Federal Family Practice is an health care organization with primary practice located at 1930 S Federal Blvd #A, Denver CO 80219-5580. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. South Federal Family Practice can be contacted via phone (303) 934-2202, or through Durbin, Roy J. via phone (303) 934-2202.

Contact Information

Primary practice address
1930 S Federal Blvd #A Denver CO 80219-5580
Fax: (303) 934-1473
Website:
Authorized official contact:
Name: Durbin, Roy J. Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1417175514
LBN Legal business name South Federal Family Practice
DBA Doing business as
Authorized official Durbin, Roy J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2007
Last updated Sep 9th, 2014 - 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 1417175514 NPPES
Colorado MEDICAID 034303260

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