PAGOSA SPRINGS FAMILY MEDICINE CENTER PC
NPI 1023133824
Specialist in Pagosa Springs, CO

Q: What is Pagosa Springs Family Medicine Center PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since March 20, 2007

75 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147(970) 731-4131(970) 731-9384 Get Directions Write a Review

NPPES record last updated: May 15, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Pagosa Springs Family Medicine Center Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAGOSA SPRINGS FAMILY MEDICINE CENTER PC (NPI 1023133824) is a healthcare organization registered as a specialist in Pagosa Springs, Colorado and active in the NPI registry since March 2007. The organization lists James C Pruitt, Owner, as its authorized official.

NPPES Registry Identity

NPI1023133824

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePAGOSA SPRINGS FAMILY MEDICINE CENTER PC

Location Address75 S PAGOSA BLVDPagosa Springs, CO 81147-8330

Mailing AddressPo Box 7638Loveland, CO 80537-0638

Phone(970) 731-4131

Fax(970) 731-9384

Organization SubpartNo

Authorized OfficialJames C PruittOwner · (970) 731-4131

Enumeration DateMarch 20, 2007

Last NPPES UpdateMay 15, 2009

✔ NPI 1023133824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

75 S PAGOSA BLVD, Pagosa Springs, CO 81147

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Other Identifiers 5

Other06D0518606NM · Nm Bcbs

OtherPAP07008CO · Bcbs

Medicare PINC809020CO

Medicaid74603051CO

Medicare NSC6003610001

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. GARY HANNEMANN

Counselor (Professional)