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Contact Information

GENESIS ELDERCARE PHYSICIAN SERVICES LLC
835 TENDERFOOT HILL RD # T
COLORADO SPRINGS, CO80906
 Phone: 410-543-1957
 Fax: 410-543-2951
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GENESIS ELDERCARE PHYSICIAN SERVICES LLC

NPI Number 1801215041
LBN Legal business name GENESIS ELDERCARE PHYSICIAN SERVICES LLC
Authorized official ERIC SHAPIRO - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/15/2014
Last updated 08/05/2019 - About 7 years ago
Identifiers n/a
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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