Family Care Clinic

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

FAMILY CARE CLINIC

Practice address

900 Cedar St
Julesburg, CO 80737-1121

Phone

(970) 522-2264

NPI assigned

Jan 16, 2010

Organization subpart

Yes

Parent organization

BANNER HEALTHAs reported in NPPES

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

Authorized official

Name

Dennis Dahlen

Title

Sr VP Finance

Phone

(602) 747-4000

Specialties & licenses 1

Addresses

Tax ID family

Family Care Clinic5 organizations share this tax ID, including this one

Part of

M E Lee MD

Other organizations with this tax ID 4

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

• Family Care Clinic

  • Multi-Specialty Clinic/Center
  • Sterling, CO
  • NPI 1437306677
  NPD tax ID
• Family Care Clinic

  • Multi-Specialty Clinic/Center
  • Sterling, CO
  • NPI 1487801544
  NPD tax ID
• Family Care Clinic

  • Multi-Specialty Clinic/Center
  • Sterling, CO
  • NPI 1619355807
  NPD tax ID
• Family Care Clinic

  • Multi-Specialty Clinic/Center
  • Sidney, NE
  • NPI 1871742346
  NPD tax ID

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

{
    "created_epoch": "1263600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263600000000",
    "number": "1821329798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CEDAR ST",
            "city": "JULESBURG",
            "state": "CO",
            "postal_code": "807371121",
            "telephone_number": "970-522-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2010-01-16",
        "last_updated": "2010-01-16",
        "status": "A",
        "authorized_official_last_name": "DAHLEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "SR VP FINANCE",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Colorado Services for the Developmentally Disabled, Inc.
• Eastern Colorado Services for the Developmentally Disabled, Inc.
• Sharon Edler
• Abby Ensminger, LSW
• Craig Patrick Erickson, MD
• Mark Lyman Farmer, D.D.S.
• Healthone Clinic Services - Pediatric Specialties LLC
• Healthone Heart Care LLC
• Thomas F Jokerst, DO
• Troy Douglas Kinoshita, RN

• Multi-Specialty Clinic/Center in Julesburg, CO
• Providers in Julesburg, CO by specialty
• Multi-Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2010; 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.