Arkansas Valley Family Practice, LLC
Organization Active NPI Family Medicine Physician · Lajunta, CO
NPI 1497938351 · NPPES record last updated Nov 10, 2020
Key facts
- NPI
- 1497938351
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ARKANSAS VALLEY FAMILY PRACTICE, LLC
- Practice address
- 2317 San Juan Ave.
Lajunta, CO 81050 - Phone
- (719) 383-2325
- Fax
- (719) 383-2327
- NPI assigned
- Dec 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Richard K Book, D.O
- Title
- Owner/Provider
- Phone
- (719) 383-2325
National Provider Directory
Locations
2317 San Juan Ave
La Junta, CO 81050
Phone (719) 383-2325
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
2317 San Juan Ave.
Lajunta, CO 81050
Mailing address
2317 San Juan Ave.
Lajunta, CO 81050
Phone (719) 383-2325
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31830030 | Medicaid | CO |
Other providers in Lajunta, CO
All providers in Lajunta, 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 10, 2020. 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.