NPIMap

Organization Active NPI

City of Colorado Springs Employee Medical Clinic

  • Primary Care Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1891935789
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CITY OF COLORADO SPRINGS EMPLOYEE MEDICAL CLINIC
Practice address
30 S Nevada Ave
Suite 103
Colorado Springs, CO 80903-1802
Phone
(719) 385-5841
NPI assigned
Mar 5, 2009
Last updated
Mar 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Mark Anderson
Title
Risk Manager
Phone
(719) 385-5661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

30 S Nevada Ave
Suite 103
Colorado Springs, CO 80903-1802

Mailing address

P.O. Box 1575
Mc135
Colorado Springs, CO 80901
Phone (719) 385-5841

National Provider Directory

National Provider Directory
Tax ID family
City Employee Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

30 S Nevada Ave
Ste 103
Colorado Springs, CO 80903
Phone (719) 385-5841

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1891935789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1575",
            "address_2": "MC135",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80901",
            "telephone_number": "719-385-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S NEVADA AVE",
            "address_2": "SUITE 103",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031802",
            "telephone_number": "719-385-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF COLORADO SPRINGS EMPLOYEE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "RISK MANAGER",
        "authorized_official_telephone_number": "719-385-5661"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.