Organization Active NPI

Trinidad Family Medical Center

  • Family Medicine Physician
  • Trinidad, CO
National Provider Identifier
1902075757
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22493 Issued in CO
Legal business name
TRINIDAD FAMILY MEDICAL CENTER
Practice address
1502 E Main St
Trinidad, CO 81082-2014
Phone
(719) 846-3305
Fax
(719) 846-4922
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Dr. Douglas Manter McFarland, M.D.NPI 1992863195
Title
Medical Director
Phone
(719) 846-3305

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 22493 CO Primary

Addresses

Primary practice location

1502 E Main St
Trinidad, CO 81082-2014

Mailing address

1502 E Main St
Trinidad, CO 81082-2014
Phone (719) 846-3305

Other identifiers 1

IdentifierTypeStateIssuer
24727032MedicaidCO

National Provider Directory

National Provider Directory

Locations

1502 E Main St
Trinidad, CO 81082
Phone (719) 846-3305

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1902075757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 E MAIN ST",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822014",
            "telephone_number": "719-846-3305",
            "fax_number": "719-846-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 E MAIN ST",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822014",
            "telephone_number": "719-846-3305",
            "fax_number": "719-846-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINIDAD FAMILY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "MCFARLAND",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "MANTER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "719-846-3305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "22493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24727032",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinidad, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.