Pagosa Caritas Family Medicine LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

43171 Issued in CO

Legal business name

PAGOSA CARITAS FAMILY MEDICINE LLC

Practice address

103 Pagosa St.
Pagosa Springs, CO 81147

Phone

(970) 264-2218

NPI assigned

Sep 8, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robin Galloway, MD

Title

Sole Owner

Phone

(970) 264-2218

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1184025389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811470424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PAGOSA ST.",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "81147",
            "telephone_number": "970-264-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGOSA CARITAS FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "GALLOWAY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "970-264-2218",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "43171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Dahm Nobles, PA-C
• Joy Aileen Norris
• George E Norwood, MD
• Elly C Osmera, CMT
• Jennifer Marie Owens, LMT
• Pagosa Chiropractic
• Pagosa Dental PC
• Pagosa Kids Familydental
• Pagosa P&C Inc. (Pagosa Specialty Pharmacy)
• Pagosa Peak Family Dentistry, PLLC

• Primary Care Clinic/Center in Pagosa Springs, CO
• Providers in Pagosa Springs, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.