NPIMap

Organization Active NPI

Eastern Plains Medical Clinic of Calhan

  • Family Medicine Physician
  • Calhan, CO
National Provider Identifier
1508897117
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EASTERN PLAINS MEDICAL CLINIC OF CALHAN
Practice address
560 Crystola Street
Calhan, CO 80808
Phone
(719) 347-0100
NPI assigned
Jul 5, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Kelli Zearing, BSHM, RMA, CMAS
Title
Practice Manager
Phone
(719) 347-0100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X CO
Family Medicine Physician 207Q00000X CO Primary

Addresses

Primary practice location

560 Crystola Street
Calhan, CO 80808

Mailing address

PO Box 275
Calhan, CO 80808-0275
Phone (719) 347-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040305000337 CO Part B Supplier - Clinic/Group Practice 8729992516 Receives reassigned benefits from 7 practitioners
Practice locations: Calhan, CO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Eastern Plains Medical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGAGBA

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508897117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 275",
            "city": "CALHAN",
            "state": "CO",
            "postal_code": "808080275",
            "telephone_number": "719-347-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 CRYSTOLA STREET",
            "city": "CALHAN",
            "state": "CO",
            "postal_code": "80808",
            "telephone_number": "719-347-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PLAINS MEDICAL CLINIC OF CALHAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-07-21",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "ZEARING",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "719-347-0100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSHM, RMA, CMAS"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhan, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.