FAMILY CARE CLINIC (NPI# 1265469514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265469514 |
| Entity Type | Organization |
| Organization Name | FAMILY CARE CLINIC |
| Practice Address |
615 Fairhurst St Sterling CO 80751-4523 |
| Mailing Address |
2901 N Central Ave Ste 160 Phoenix AZ 85012 |
| Practice Telephone | 9705213223 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2017-06-06 |
| Authorized Official Name | MATTHEW COX (SR VICE PRESIDENT FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 05575541 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619355807 | Family Care Clinic | Clinic/Center | 1405 S 8th Ave Ste 102, Sterling, CO 80751-4560 | 2015-05-08 |
| 1255738001 | Family Care Clinic | Clinic/Center | 102 Hays Ave, Sterling, CO 80751-2866 | 2014-11-21 |
| 1215172101 | Family Care Clinic | Clinic/Center | 302 Bay Avenue, Richton, MS 39476-1650 | 2008-12-08 |
| 1902118011 | Family Care Clinic | Clinic/Center | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2010-07-06 |
| 1821329798 | Family Care Clinic | Clinic/Center | 900 Cedar St, Julesburg, CO 80737-1121 | 2010-01-16 |
| 1770817413 | Family Care Clinic | Family Medicine | 8050 W Rifleman St Ste 100, Boise, ID 83704-9000 | 2009-09-29 |
| 1871742346 | Family Care Clinic | Clinic/Center | 645 Osage St, Sidney, NE 69162-1714 | 2008-09-09 |
| 1487801544 | Family Care Clinic | Clinic/Center | 1405 S 8th Ave, Suite 101, Sterling, CO 80751-4563 | 2008-08-20 |
| 1437306677 | Family Care Clinic | Clinic/Center | 1405 S 8th Ave, Suite 105, Sterling, CO 80751-4563 | 2008-08-19 |
| 1114199353 | Family Care Clinic | Internal Medicine | 4506 Briarwood Ave, Midland, TX 79707-2642 | 2008-03-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | FAMILY CARE CLINIC | 1730 Se 96th Avenue, Portland, OR 97216 |
| System for Award Management (SAM) Entities | FAMILY CARE CLINIC OF HENRYETTA | 2401 W Main St, Henryetta, OK 74437-3893 |
| Street Address |
615 FAIRHURST ST |
| City | STERLING |
| State | CO |
| Zip Code | 80751-4523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495749 | Frank M Nash | Nurse Anesthetist, Certified Registered | 615 Fairhurst St, Sterling, CO 80751-4564 | 2005-05-24 |
| 1609490846 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 615 Fairhurst St, Sterling, CO 80751-4523 | 2020-06-03 |
| 1558863415 | Lifelinc Anesthesia Colorado LLC | Nurse Anesthetist, Certified Registered | 615 Fairhurst St, Sterling, CO 80751-4523 | 2018-03-06 |
| 1669983722 | Sterling Regional Medcenter | Clinic/Center | 615 Fairhurst St, Sterling, CO 80751-4523 | 2017-10-17 |
| 1508385204 | Sterling Regional Medcenter | Clinical Medical Laboratory | 615 Fairhurst St, Sterling, CO 80751-4523 | 2017-09-13 |
| 1528518628 | Erin Egan LLC | Internal Medicine | 615 Fairhurst St, Sterling, CO 80751-4523 | 2016-10-12 |
| 1467837609 | Sterling Regional Medcenter | Clinic/Center | 615 Fairhurst St, Sterling, CO 80751-4523 | 2015-07-29 |
| 1053799171 | Blue Sage Medical Corporation | Family Medicine | 615 Fairhurst St, Sterling, CO 80751-4523 | 2015-05-08 |
| 1255734141 | Haley Edwards | Dietitian, Registered | 615 Fairhurst St, Sterling, CO 80751-4523 | 2014-10-06 |
| 1942630835 | Bonnie Brownell | Nurse Practitioner | 615 Fairhurst St, Family Care Clinic, Sterling, CO 80751-4523 | 2013-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114557915 | Advantage Treatment Centers Inc | Clinic/Center | 12220 Hwy 61, Sterling, CO 80751 | 2020-01-21 |
| 1477018786 | Elizabeth Broadwell | Nurse Practitioner | 12101 Co-61, Sterling, CO 80751 | 2019-01-31 |
| 1396102794 | Jamie Soucie | Counselor | 330 W. Maint St. Ste B, Sterling, CO 80751 | 2016-01-15 |
| 1023487469 | Tappy Health & Wellness, Inc. | Physical Therapist | 309 S Railway St, Sterling, CO 80751 | 2015-09-16 |
| 1033465257 | Patricia Carol Smith | Physical Therapist | 100 Broadway St. Suite 24, Sterling, CO 80751 | 2012-07-25 |
| 1770855900 | Total Renal Care Inc | Clinic/Center | 603 Holly Dr, Sterling, CO 80751 | 2012-02-03 |
| 1609172782 | Keyna I Schlup | Family Medicine | 428 S 2nd St, Sterling, CO 80751 | 2011-02-07 |
| 1871811604 | Alexis Balstad | Obstetrics & Gynecology | 1405 S 8th Ave Suite 105, Sterling, CO 80751 | 2010-05-04 |
| 1770705659 | Donna Bishop Davis | Marriage & Family Therapist | 228 South Third Street, Suite 1, Sterling, CO 80751 | 2007-05-02 |
| 1659406338 | Kimberly Ann Suter | Dentist | 617 W Main Street, Sterling, CO 80751 | 2007-02-22 |
| Find all providers in zip 80751 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255738001 | Family Care Clinic | Clinic/Center | 102 Hays Ave, Sterling, CO 80751-2866 | 2014-11-21 |
| 1225549389 | Sterling Regional Medcenter | Clinic/Center | 102 Hays Ave, Sterling, CO 80751-2866 | 2017-10-17 |
| 1669983722 | Sterling Regional Medcenter | Clinic/Center | 615 Fairhurst St, Sterling, CO 80751-4523 | 2017-10-17 |
| 1689973372 | Hospital District No 1 of Rice Co | Clinic/Center | 239 N Broadway Ave, Sterling, KS 67579-1916 | 2011-03-21 |
| 1821150228 | Medical Center, P.a. | Clinic/Center | 239 N Broadway Ave, Sterling, KS 67579-1916 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023663879 | Salida Hospital District | Clinic/Center | 550 W Us Highway 50, Salida, CO 81201-2238 | 2019-08-08 |
| 1356995237 | Salida Hospital District | Clinic/Center | 405 Denver Avenue, Saguache, CO 81149 | 2019-07-29 |
| 1497279236 | Southwest Health System, Inc. | Clinic/Center | 601 Central Ave, Dolores, CO 81323 | 2017-08-02 |
| 1144777566 | Valley Citizens' Foundation for Health Care, Inc. | Clinic/Center | 1033 2nd Avenue, Monte Vista, CO 81144-1737 | 2016-09-01 |
| 1184170748 | Wallowa County Health Care District | Clinic/Center | 16351 E. 104th Place, Commerce City, CO 80022 | 2016-09-01 |
| 1457749608 | Keefe Memorial Health Service District | Clinic/Center | 102 E 2nd Avenue, Kit Carson, CO 80825 | 2014-12-22 |
| 1396143574 | Keefe Memorial Health Service District | Clinic/Center | 615 West 5th North, Cheyenne Wells, CO 80810 | 2014-12-19 |
| 1366709263 | Dolores Medical Center | Clinic/Center | 507 Central Avenue, Dolores, CO 81323 | 2012-04-16 |
| 1528381928 | Valley Citizens' Foundation for Healthcare, Inc | Clinic/Center | 802 Rio Grande Avenue, Creede, CO 81130-0755 | 2010-03-12 |
| 1912232349 | Prowers County Hospital District | Clinic/Center | 403 Kendall Dr Ste C, Lamar, CO 81052-3953 | 2009-10-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.