NPIMap

Organization Active NPI

Four Points Family Medical Center Inc

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1306998596
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FOUR POINTS FAMILY MEDICAL CENTER INC
Practice address
4020 Palmer Park Blvd Ste 101B
Colorado Springs, CO 80909-3433
Phone
(719) 577-9977
Fax
(719) 577-9977
NPI assigned
Jan 17, 2007
Last updated
Nov 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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

Authorized official

Name
Dr. Aginah Deberry
Title
President
Phone
(719) 577-9977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4020 Palmer Park Blvd Ste 101B
Colorado Springs, CO 80909-3433

Mailing address

4020 Palmer Park Blvd Ste 101B
Colorado Springs, CO 80909-3433
Phone (719) 577-9977

National Provider Directory

National Provider Directory

Locations

4020 Palmer Park Blvd
Colorado Springs, CO 80909
Phone (719) 577-9977

4020 Palmer Park Blvd
#101B
Colorado Springs, CO 80909
Phone (719) 577-9977

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1306998596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 PALMER PARK BLVD STE 101B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093433",
            "telephone_number": "719-577-9977",
            "fax_number": "719-577-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 PALMER PARK BLVD STE 101B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093433",
            "telephone_number": "719-577-9977",
            "fax_number": "719-577-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR POINTS FAMILY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "DEBERRY",
        "authorized_official_first_name": "AGINAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-577-9977",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.