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Contact Information

JACK FORD MD PC
3505 AUSTIN BLUFFS PKWY STE 306
COLORADO SPRINGS, CO80918-5755
 Phone: 719-475-1810
 Fax: 719-475-1812
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for JACK FORD MD PC

NPI Number 1194135657
LBN Legal business name JACK FORD MD PC
Authorized official COURTNEY CRANCE - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 05/05/2014
Last updated 07/02/2024 - More than a year ago
Identifiers
CO License # DR00016135
CO License # DR00053716
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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