Glenwood Medical Associates PC
Organization Active NPI Family Medicine Physician · Silt, CO
NPI 1073867271 · NPPES record last updated Nov 9, 2012
Key facts
- NPI
- 1073867271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 48893 (CO)
- Legal business name
- GLENWOOD MEDICAL ASSOCIATES PC
- Practice address
- 2001 N Horseshoe TRL
Silt, CO 81652-9832 - Phone
- (970) 876-5700
- Fax
- (970) 876-0482
- NPI assigned
- Nov 9, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- GLENWOOD MEDICAL ASSOCIATES PC
Authorized official
- Name
- Tim Burns
- Title
- Chief Administrative Officer
- Phone
- (970) 945-8503
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Eagle Clinic
- Part of
- Eagle Clinic
Locations
1830 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 945-8503
Interoperability endpoints
- grp@gma.direct.vvh.org
- janj@gma.direct.vvh.org
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71730
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 48893 | CO | Yes |
Addresses
Primary practice location
2001 N Horseshoe TRL
Silt, CO 81652-9832
Mailing address
1830 Blake Ave
Glenwood Springs, CO 81601-4275
Phone (970) 945-8503
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03078345 | Medicaid | CO |
Other providers in Silt, CO
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- Maura Catharine Fagan
- Deborah Ghan
- Yadira Guthrie
- Just Like Family Home Care Inc
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- Leslie Dawn Lahti
- James A Legg
All providers in Silt, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.