HEALTHONE CLINIC SERVICES - PRIMARY CARE, LLC (NPI# 1568008241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568008241 |
| Entity Type | Organization |
| Organization Name | HEALTHONE CLINIC SERVICES - PRIMARY CARE, LLC |
| Practice Address |
525 Hathaway St Fairplay CO 80440 |
| Practice Telephone | 7198360334 |
| Practice Fax Number | 7198360336 |
| Mailing Telephone | 7198360334 |
| Mailing Fax Number | 7198360336 |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | MR. WILLIAM M SMITHAM (VP) |
| Authorized Official Telephone | 3035848119 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTHONE CLINIC SERVICES - PRIMARY CARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| South Park Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390821 | Healthone Clinic Services - Primary Care, LLC | Family Medicine | 10405 Martin Luther King Blvd Ste 120, Denver, CO 80238-2399 | 2020-09-15 |
| 1679189583 | Healthone Clinic Services - Primary Care, LLC | Family Medicine | 1501 S Potomac St, Aurora, CO 80012-5411 | 2020-09-17 |
| 1861008690 | Healthone Clinic Services - Primary Care, LLC | Family Medicine | 1719 E 19th Ave, Denver, CO 80218-1235 | 2020-09-17 |
| 1134735954 | Healthone Clinic Services - Primary Care, LLC | Family Medicine | 4545 E 9th Ave, Denver, CO 80220-3901 | 2020-09-17 |
| 1952917775 | Healthone Clinic Services - Primary Care, LLC | Family Medicine | 4500 E 9th Ave Ste 450, Denver, CO 80220-3933 | 2020-09-17 |
| 1225644057 | Healthone Clinic Services - Primary Care, LLC | Family Medicine | 4500 E 9th Ave Ste 540, Denver, CO 80220-3924 | 2020-09-17 |
| 1427664242 | Healthone Clinic Services - Primary Care, LLC | Family Medicine | 10107 Ridgegate Pkwy Ste 240, Lone Tree, CO 80124-5641 | 2020-09-17 |
| 1154937977 | Healthone Clinic Services - Primary Care, LLC | Family Medicine | 799 E Hampden Ave Ste 300, Englewood, CO 80113-2762 | 2020-09-17 |
| 1881200608 | Healthone Clinic Services - Primary Care, LLC | Family Medicine | 4567 E 9th Ave, Denver, CO 80220-3908 | 2020-09-17 |
| 1144836107 | Healthone Clinic Services - Primary Care, LLC | Family Medicine | 1601 E 19th Ave Ste 6000, Denver, CO 80218-1293 | 2020-09-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | HealthONE Clinic Services - Primary Care, LLC | One Park Plaza, Nashville, TN 37203 |
| Street Address |
525 HATHAWAY ST |
| City | FAIRPLAY |
| State | CO |
| Zip Code | 80440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952743510 | Bender Medical Group | Family Medicine | 525 Hathaway St, Fairplay, CO 80440-0760 | 2013-07-24 |
| 1154958064 | Healthone Clinic Services - Cardiovascular LLC | Internal Medicine | 525 Hathaway St, Fairplay, CO 80440 | 2020-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790264547 | Abigail Ferguson | Counselor | 640 Hathaway Street, Fairplay, CO 80440 | 2018-08-13 |
| 1215422720 | Summit Community Care Clinic, Inc. | Clinic/Center | 640 Hathaway St, Fairplay, CO 80440 | 2018-06-27 |
| 1235628199 | Adam Fyler | Counselor | 760 Bogue St, Fairplay, CO 80440 | 2018-05-07 |
| 1174988851 | Aspenpointe Inc Dba Aspenpointe Health Services | Clinic/Center | 970 Castello Ave, Fairplay, CO 80440 | 2015-12-22 |
| 1588034854 | Shirlene Davis | Massage Therapist | 295 5th Street, #7, Fairplay, CO 80440 | 2015-09-30 |
| 1154743979 | Medcare LLC | Nurse Practitioner | 45 Frontage Road, Fairplay, CO 80440 | 2014-01-14 |
| 1316382682 | High Mountain Hygiene, PC | Dental Hygienist | 548 Front St., Suite C, Fairplay, CO 80440 | 2013-05-01 |
| 1790041044 | Lynn Ann Ramey | Registered Nurse | 899 Steinfelt Pkwy, Fairplay, CO 80440 | 2012-04-11 |
| 1881950137 | Betty Elizabeth Ballman Mclain | Registered Nurse | 899 Steinfelt Parkway, Fairplay, CO 80440 | 2012-04-11 |
| 1588968820 | Nancy Kay Roth | Speech-Language Pathologist | 5166 Platte River Dr, Fairplay, CO 80440 | 2010-12-30 |
| Find all providers in zip 80440 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003262627 | Denver Solutions | Non-Pharmacy Dispensing Site | 13796 Compark Blvd, Englewood, CO 80112-7145 | 2016-05-12 |
| 1104242700 | Optumcare Colorado Springs, LLC | Non-Pharmacy Dispensing Site | 600 S 21st Street, Ste 100, Colorado Springs, CO 80904 | 2014-03-07 |
| 1053656207 | Pharmacist Care LLC | Non-Pharmacy Dispensing Site | 9175 Dome Rock Pl, Colorado Springs, CO 80924-2916 | 2012-11-28 |
| 1972832277 | Kushmart | Non-Pharmacy Dispensing Site | 4095 Jackson St, Denver, CO 80216-6522 | 2009-12-15 |
| 1750535266 | West Custer County Hospital District | Non-Pharmacy Dispensing Site | 740 Edwards St., Westcliffe, CO 81252-8588 | 2008-11-11 |
| 1952436917 | Lennox Procurement & Dist Svcs | Non-Pharmacy Dispensing Site | 6055 Lehman Dr, Ste 102, Colorado Springs, CO 80918-5486 | 2007-02-22 |
| 1598801615 | Front Range Flu Shots, LLC | Non-Pharmacy Dispensing Site | 7421 S Curtice Ct, Littleton, CO 80120-3952 | 2007-01-29 |
| 1467957217 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 1551 N 17th Ave Ste 1, Greeley, CO 80631-9400 | 2018-03-26 |
| 1912418088 | Urology Associates PC | Non-Pharmacy Dispensing Site | 799 E Hampden Ave Ste 430, Englewood, CO 80113-2766 | 2017-10-17 |
| 1619326907 | Britt A Buckley Md PC | Non-Pharmacy Dispensing Site | 3155 N Union Blvd, Colorado Springs, CO 80907-8703 | 2016-06-07 |
| 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.