Four Points Family Medical Center Inc
Organization Active NPI Family Medicine Physician · Colorado Springs, CO
NPI 1306998596 · NPPES record last updated Nov 14, 2008
Key facts
- NPI
- 1306998596
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 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
- Organization subpart
- No
Authorized official
- Name
- Dr. Aginah Deberry
- Title
- President
- Phone
- (719) 577-9977
Practitioners 14
-
Elena L Bahena, FNP
-
Elizabeth Ann Fash, PA-C
-
Richard Gamuac, M.D.
-
Douglass Alan Jeffers, PA-C
-
Renee Michelle Martinez-Epperson, MSW, LCSW, CAC II
-
Grace N Nweke, MD
-
Jodi Obirek, LCSW
-
Betty Ann Sparks, NP
-
Christina Sternitzke, PA-C
-
Miguelina J Vargas, PHD
-
Hannah Osborne, NP
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29321786 | Medicaid | CO |
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All providers in Colorado Springs, 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 14, 2008. 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.