NPIMap

Organization Active NPI

Comprehensive Family Care Center

  • Family Medicine Physician
  • Pueblo, CO
National Provider Identifier
1568416162
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMPREHENSIVE FAMILY CARE CENTER
Practice address
916 Indiana Ave
Suite 120
Pueblo, CO 81004-3747
Phone
(719) 562-1122
Fax
(719) 562-0244
NPI assigned
May 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven Milligan, MD
Title
President
Phone
(719) 562-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CO Primary

Addresses

Primary practice location

916 Indiana Ave
Suite 120
Pueblo, CO 81004-3747

Mailing address

916 Indiana Ave
Suite 120
Pueblo, CO 81004-3747
Phone (719) 562-1122

Other identifiers 1

IdentifierTypeStateIssuer
04015483MedicaidCO

National Provider Directory

National Provider Directory

Locations

2002 Lake Ave
Ste D
Pueblo, CO 81004
Phone (719) 557-3861

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568416162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 INDIANA AVE",
            "address_2": "SUITE 120",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043747",
            "telephone_number": "719-562-1122",
            "fax_number": "719-562-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 INDIANA AVE",
            "address_2": "SUITE 120",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043747",
            "telephone_number": "719-562-1122",
            "fax_number": "719-562-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE FAMILY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLIGAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-562-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04015483",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.