POTOMAC SQUARE FAMILY MEDICINE, LLC
NPI 1447869136
Clinic/Center - Primary Care in Centennial, CO

Q: What is Potomac Square Family Medicine, LLC's NPI number?

The NPI number for Potomac Square Family Medicine, LLC is 1447869136. It was assigned to this organization in the NPPES registry on July 28, 2020.

Q: What is Potomac Square Family Medicine, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since July 28, 2020

20270 E SMOKY HILL RD, CENTENNIAL, CO 80015(303) 693-2000 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 15, 2022, Sep 15, 2020, Jul 28, 2020 (3 updates tracked since 2020).

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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 1447869136) is a healthcare organization registered as a primary care in Centennial, Colorado and active in the NPI registry since July 2020. The organization lists Stephanie Gluchacki, Svp, Compliance, as its authorized official.

NPPES Registry Identity

NPI1447869136

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NamePOTOMAC SQUARE FAMILY MEDICINE, LLC

Location Address20270 E SMOKY HILL RDCentennial, CO 80015-3138

Mailing AddressPo Box 173848Denver, CO 80217-3848 · (303) 945-3299 · Fax (303) 341-4708

Phone(303) 693-2000

Organization SubpartNo

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

Enumeration DateJuly 28, 2020

Last NPPES UpdateApril 15, 20223 updates tracked since enumeration

NPPES CertifiedApril 15, 2022

✔ NPI 1447869136 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

20270 E SMOKY HILL RD, Centennial, CO 80015

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Other Identifiers 1

Medicaid44008821CO

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 8

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

ROCKY MOUNTAIN MEDICAL GROUP P.C.

Preventive Medicine (Occupational Medicine)