ACADEMY HEIGHTS FOOT CLINIC PC; NPI #1265593594

Contact Information

ACADEMY HEIGHTS FOOT CLINIC PC

1155 KELLY JOHNSON BLVD STE 310
COLORADO SPRINGS, CO 80920

Phone: 719-574-9800
Fax: 719-574-9749
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for ACADEMY HEIGHTS FOOT CLINIC PC

NPI Number 1265593594

LBN Legal business name ACADEMY HEIGHTS FOOT CLINIC PC

Authorized official LEE FLEMING - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/12/2006

Last updated 02/06/2020 - About 6 years ago

Identifiers

CO	License #	366
CO	License #	656
CO	Medicaid	89502086

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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ACADEMY HEIGHTS FOOT CLINIC PC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for ACADEMY HEIGHTS FOOT CLINIC PC

Reviews for ACADEMY HEIGHTS FOOT CLINIC PC