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Contact Information

PEDIATRIC PARTNERS OF THE SOUTHWEST
810 EAST 3RD ST, SUITE #301
PEDIATRIC PARTNERS OF THE SOUTHWEST
DURANGO, CO81301
 Phone: 970-375-0100
 Fax: 970-375-9210
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC PARTNERS OF THE SOUTHWEST

NPI # 1083717219
LBN Legal business name PEDIATRIC PARTNERS OF THE SOUTHWEST
Authorized official MARTHA FRALEY - (PHYSICIAN ADMINISTRATOR/ CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/06/2006
Last updated 06/29/2023 - About 3 years ago
Identifiers
CO License # 33703
CO Medicaid 01337039
CO Medicaid 40373037
CO Medicaid 66033721
CO Medicaid 948.84.315
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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