Active NPI
Family Care Clinic
- Rural Health Clinic/Center
- Sterling, CO
National Provider Identifier
1255738001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- FAMILY CARE CLINIC
- Practice address
- 102 Hays Ave
Sterling, CO 80751-2866 - Phone
- (970) 521-3223
- Fax
- (970) 521-3266
- NPI assigned
- Nov 21, 2014
- Organization subpart
- Yes
- Parent organization
- BANNER HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Cox
- Title
- Sr VP Finance
- Phone
- (602) 747-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
102 Hays Ave
Sterling, CO 80751-2866
Mailing address
2901 N Central Ave, Suite 160
Phoenix, AZ 85012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063405 | Other | CO | MEDICARE PTAN |
National Provider Directory
National Provider Directory- Part of
- M E Lee MD
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1501027200000",
"number": "1255738001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 N CENTRAL AVE, SUITE 160",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 HAYS AVE",
"city": "STERLING",
"state": "CO",
"postal_code": "807512866",
"telephone_number": "970-521-3223",
"fax_number": "970-521-3266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CARE CLINIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BANNER HEALTH",
"enumeration_date": "2014-11-21",
"last_updated": "2017-07-26",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "SR VP FINANCE",
"authorized_official_telephone_number": "602-747-4000"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "063405",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sterling, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.