POTOMAC SQUARE FAMILY MEDICINE, LLC - NPI 1306455092 - Clinic/Center in Westminster, CO

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

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About Potomac Square Family Medicine, Llc NPPES

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

POTOMAC SQUARE FAMILY MEDICINE, LLC (NPI 1306455092) is a healthcare organization registered as a primary care in Westminster, Colorado and active in the NPI registry since July 2020. The organization lists Stephanie Gluchacki, Svp, Compliance, as its authorized official.

NPPES Registry Identity

NPI1306455092

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NamePOTOMAC SQUARE FAMILY MEDICINE, LLC

Location Address6080 W 92ND AVE STE 1000Westminster, CO 80031-2935

Mailing AddressPo Box 173848Denver, CO 80217-3848 · (303) 945-3299 · Fax (303) 945-3303

Phone(303) 427-0796

Organization SubpartNo

Authorized OfficialStephanie GluchackiSvp, Compliance · (508) 689-9706

Enumeration DateJuly 28, 2020

Last NPPES UpdateApril 15, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2021

✔ NPI 1306455092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedPhysical TherapistTaxonomy 225100000X

6080 W 92ND AVE STE 1000, Westminster, CO 80031

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Other Identifiers 1

Medicaid47234059CO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

MICHAEL JOSEPH GYORFFY LCSW

Social Worker (Clinical)