PEACH VALLEY FAMILY MEDICAL CENTER, PC (NPI# 1588631121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588631121 |
| Entity Type | Organization |
| Organization Name | PEACH VALLEY FAMILY MEDICAL CENTER, PC |
| Practice Address |
3225 I-70 Business Loop Ste A4 Clifton CO 81520-7687 |
| Practice Telephone | 9704346542 |
| Practice Fax Number | 9704343327 |
| Mailing Telephone | 9704346542 |
| Mailing Fax Number | 9704343327 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2010-06-25 |
| Authorized Official Name | DR. WILLIAM D HOISINGTON (PRESIDENT) |
| Authorized Official Telephone | 9704346542 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | AETNA | 214-1043 | 01 |
| CO | 94550581 | 05 | |
| CO | BCBS | 52359 | 01 |
| Street Address |
3225 I-70 BUSINESS LOOP STE A4 |
| City | CLIFTON |
| State | CO |
| Zip Code | 81520-7687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174693980 | Stacia C Baker | Family Medicine | 3225 I-70 Business Loop Ste A4, Clifton, CO 81520-7687 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962615443 | James Rice | Assisted Living Facility | 3291 Lombardy Lane, Clifton, CO 81520 | 2007-05-08 |
| 1568689024 | Alpine Home Health II, Inc | Home Health | 602 Jackson, Grand Junction, CO 81520 | 2007-04-19 |
| 1609814789 | Albertsons LLC | Pharmacy | 3229 Business I70, Clifton, CO 81520 | 2006-06-02 |
| 1821461088 | Kasandra Salvati | Counselor | 3230 Golden Sun Ave, Clifton, CO 81520-7101 | 2015-11-09 |
| 1346781739 | Mary Ann Warren | Contractor | 605 Irwin St, Clifton, CO 81520-7401 | 2017-03-17 |
| 1376616524 | Foot Support Group Inc | Prosthetic/Orthotic Supplier | 3212 F Rd, Clifton, CO 81520-7434 | 2006-11-16 |
| 1922512185 | Jameline Jacqueline Lofing | Counselor | 628 Livvy Ct, Clifton, CO 81520-7444 | 2017-11-27 |
| 1669499471 | Clifton Fire Protection District | Ambulance | 3254 F Rd, Clifton, CO 81520-7541 | 2006-07-16 |
| 1639703119 | Grand Valley Professional Counseling Services. LLC | Counselor | 3228 Front St, Clifton, CO 81520-7601 | 2020-02-24 |
| 1295740629 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 572 32 Rd, Clifton, CO 81520-7606 | 2006-07-31 |
| Find all providers in zip 81520 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790253722 | Completecure Medical Associates, LLC | Clinic/Center | 1005 Clifton Ave Ste 201, Clifton, NJ 07013-3523 | 2018-11-07 |
| 1275923799 | Get Well Urgent Care Clifton New Jersey LLC | Clinic/Center | 35 Ackerman Ave, Clifton, NJ 07011-1501 | 2015-02-04 |
| 1407869985 | Nermi Onat | Clinic/Center | 239 Lakeview Ave, Clifton, NJ 07011-4011 | 2006-08-14 |
| 1063976850 | Multicultural Medical Office LLC | Clinic/Center | 716 Broad St Ste 1b, Clifton, NJ 07013-1645 | 2019-01-25 |
| 1275983967 | Prestige Health Center P.C. | Clinic/Center | 385 Lakeview Ave Ste 4, Clifton, NJ 07011-4075 | 2016-06-14 |
| 1629499314 | Nj Independent Internal Medicine | Clinic/Center | 1300 Main Ave, 2a, Clifton, NJ 07011-2266 | 2013-12-23 |
| 1669802039 | Primary Care Partners, LLC | Clinic/Center | 239 Lakeview Ave, Clifton, NJ 07011-4011 | 2013-11-20 |
| 1619216876 | Advanced Medical Associates, P.a. | Clinic/Center | 1450 Main Ave, Clifton, NJ 07011-2145 | 2013-02-07 |
| 1891097648 | Ahmed Mekkawy, M.d., P.a. | Clinic/Center | 925 Clifton Ave, Suite 101, Clifton, NJ 07013-2724 | 2010-11-30 |
| 1407090848 | Rey Medicine PC | Clinic/Center | 960 Paulison Ave, Clifton, NJ 07011-3607 | 2009-04-29 |
| Find all providers in CLIFTON | ||||
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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.