Woodland Park Family Medicine, Llc
LBN: Woodland Park Family Medicine, Llc
Woodland Park Family Medicine, Llc is an health care organization with primary practice located at 16222 W Us Highway 24 Ste 200, Woodland Park CO 80863-8762. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Woodland Park Family Medicine, Llc can be contacted via phone (719) 686-2801, or through Young, Matthew C via phone (719) 686-2801.
Contact Information
Primary practice address
16222 W Us Highway 24 Ste 200
Woodland Park CO 80863-8762
Phone: (719) 686-2801
Fax: (719) 686-2809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 43176 | Colorado |
Profile Details
| NPI number | 1487856407 |
|---|---|
| LBN Legal business name | Woodland Park Family Medicine, Llc |
| DBA Doing business as | |
| Authorized official | Young, Matthew C Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 1st, 2007 |
| Last updated | Aug 6th, 2008 - about 16 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 | 1487856407 | NPPES |
| Colorado | Other | 810093 | MEDICARE |
| Colorado | MEDICAID | 41134711 | MEDICARE |
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