COMMUNITY SUPPORTED FAMILY MEDICINE, LLC


Address: 3333 S Bannock St Ste 400, Englewood, CO 80110-2436
Phone: 3038831417

COMMUNITY SUPPORTED FAMILY MEDICINE, LLC (NPI# 1477182665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477182665
Entity Type Organization
Organization Name COMMUNITY SUPPORTED FAMILY MEDICINE, LLC
Practice Address 3333 S Bannock St Ste 400
Englewood
CO 80110-2436
Practice Telephone 3038831417
Practice Fax Number 3035006966
Mailing Telephone 3038831417
Mailing Fax Number 3035006966
Enumeration Date 2020-04-08
Last Update Date 2020-04-08
Authorized Official Name JENNIFER NOVOTNY (OWNER & FAMILY NURSE PRACTITIONER)
Authorized Official Telephone 3038831417
Authorized Official Credential FNP-BC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
CSFM, LLC Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Community Supported Family Medicine, LLC 3333 S. Bannock St, Suite 400, Englewood, CO 80110

Office Location

Street Address 3333 S BANNOCK ST STE 400
City ENGLEWOOD
State CO
Zip Code 80110-2436

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669998464 Jennifer Diane Novotny Nurse Practitioner 3333 S Bannock St Ste 400, Englewood, CO 80110-2436 2017-08-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649803305 Jamie Katherine Mcnair Counselor 3460 S. Sheridan Blvd., Sheridan, CO 80110 2020-02-20
1285152926 Julie Sw Zhu Nurse's Aide 4141 S Navajo Street Apt 504a, Englewood, CO 80110 2017-09-01
1457878183 Ryan Lynch Counselor 1455 Beeler St., Aurora, CO 80110 2017-08-24
1326565177 Fredric M Sonstein Md Mba Pllc Neurological Surgery 333 W Hampden Ave Ste 800, Englewood, CO 80110 2017-08-23
1285160283 No Smile Left Behind Pllc Dentist 750 W Hampden Avenue, Suite 516, Englewood, CO 80110 2017-05-11
1619369949 Infinite Diagnostics, LLC Clinical Medical Laboratory 730 W Hamden Ave, Suite 200, Englewood, CO 80110 2015-02-24
1861833386 Hospice Care of The Rockies LLC Hospice Care, Community Based 750 W Hampden Ave Ste 280, Englewood, CO 80110 2013-07-12
1336496470 Michelle L Gambel Physical Therapist 401 W Hampden Pl Ste 10, Englewood, CO 80110 2012-08-08
1467729012 Angela Johnson Social Worker 333 West Hampton Ave. Suite 705, Denver, CO 80110 2011-11-28
1881986479 Angela Han Choi Registered Nurse 750 W Hampden Ave Ste 105, Englewood, CO 80110 2011-05-13
Find all providers in zip 80110

Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154626133 Yeun Sook Kim Clinic/Center 533 Cumberland St, Englewood, NJ 07631-4705 2011-01-21
1407028657 Alex R Pavon Md PC Clinic/Center 106 W Palisade Ave, Suite 101, Englewood, NJ 07631-2633 2008-03-27
1306451612 Arapahoe Mental Health Center, Inc Clinic/Center 155 Inverness Dr W, Englewood, CO 80112-5000 2020-09-14
1780299263 Arapahoe Mental Health Center, Inc Clinic/Center 116 Inverness Dr E Ste 105, Englewood, CO 80112-5125 2020-09-11
1568910610 Gabrielle Josephine Mulderrig Clinic/Center 154 Engle St, Englewood, NJ 07631-2507 2016-09-19
1902275712 Integrative Pediatric Health Care, LLC Clinic/Center 3701 S Clarkson St Ste 200, Englewood, CO 80113-3960 2015-09-22
1952732463 Vision Lab, Inc. Clinic/Center 850 Englewood Pkwy, 100a, Englewood, CO 80110 2013-12-09
1992137988 Community Supported Family Medicine LLC Clinic/Center 3333 S Bannock St Ste 820, Englewood, CO 80110-2422 2013-08-01
1427393271 Arapahoe Mental Health Center, Inc Clinic/Center 155 Inverness Dr W, Englewood, CO 80112-5095 2012-12-05
1821297581 Healthy Futures, PC Clinic/Center 300 E Hampden Ave, Suite 201, Englewood, CO 80113-2638 2007-07-13
Find all providers in ENGLEWOOD

Competitor

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City ENGLEWOOD
Zip Code 80110

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Dataset Information

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.

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