TRI-COUNTY MEDICAL CENTER, P.C. (NPI# 1720272297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720272297 |
| Entity Type | Organization |
| Organization Name | TRI-COUNTY MEDICAL CENTER, P.C. |
| Other Organization Name | DOC SPINE FAMILY MEDICINE, P.C. |
| Practice Address |
720 Austin Ave Suite 103 Erie CO 80516-2422 |
| Practice Telephone | 3038289355 |
| Practice Fax Number | 3038284883 |
| Mailing Telephone | 3038289355 |
| Mailing Fax Number | 3038284883 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-11-06 |
| Authorized Official Name | DR. JOHN MICHAEL SPINE (CEO) |
| Authorized Official Telephone | 3038289355 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
32971 | CO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Doc Spine Family Medicine, P.C. | Former Legal Business Name - Organization |
| Street Address |
720 AUSTIN AVE SUITE 103 |
| City | ERIE |
| State | CO |
| Zip Code | 80516-2422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356471593 | John Michael Spine | Family Medicine | 720 Austin Ave, Suite 103, Erie, CO 80516-2422 | 2007-03-06 |
| 1144533928 | Chantelle Marie Erickson | Physician Assistant | 720 Austin Ave, Ste 103, Erie, CO 80516-2422 | 2010-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605411 | Casey Elizabeth Dunne | Behavior Technician | 685 Briggs Street, Erie, CO 80516 | 2020-09-28 |
| 1972153799 | Brynn Lay | Chiropractor | 615 Briggs St., Ste. B, Erie, CO 80516 | 2019-09-13 |
| 1013561414 | Giselle Serrano | Dentist | 1927 Colorado State Hwy 7 Ste 101, Ste 101, Erie, CO 80516 | 2019-07-25 |
| 1790348258 | Wild Sun Behavioral Services, LLC | Behavioral Analyst | 685 Briggs St, Erie, CO 80516 | 2019-04-19 |
| 1174011274 | Erie Modern Dentistry, LLP | Dentist | 1927 Colorado State Hwy 7, Suite 101, Erie, CO 80516 | 2018-04-25 |
| 1255843975 | Colorado Dental Professionals, LLC | Dentist | 440 Erie Pkwy, Erie, CO 80516 | 2017-11-03 |
| 1902315476 | Elizabeth Ann Shedd | Nurse Practitioner | 2303 Dogwood Drive, Erie, CO 80516 | 2017-09-27 |
| 1174041073 | Anna Geheren | Registered Nurse | 764 High St, Erie, CO 80516 | 2017-08-31 |
| 1033659321 | T. Brian Cope D.d.s. P.C. | Dentist | 71 Erie Parkway, Suite 101, Erie, CO 80516 | 2017-03-06 |
| 1962959569 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 1981 State Hwy 7, Erie, CO 80516 | 2016-09-01 |
| Find all providers in zip 80516 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1679902126 | Neosho Memorial Regional Medical Center | Clinic/Center | 13920 Highway 59, Erie, KS 66733-5001 | 2013-11-05 |
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| 1992330500 | Quality Medical Clinic LLC | Clinic/Center | 3604 Galley Rd Ste 201, Colorado Springs, CO 80909-4301 | 2020-03-04 |
| 1992344659 | Metropolitan General Practice PC | Clinic/Center | 7400 E Crestline Cir Ste 105, Greenwood Village, CO 80111-3656 | 2019-12-29 |
| 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.