# BIG SKY MEDICINE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Urgent Care Evergreen
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164473088
- **Authorized official:** MARY SULLI (GENERAL MANAGER)
- **Authorized official phone:** (303) 674-2273

## Contact information

- **Practice address:** 1520 EVERGREEN PKWY, EVERGREEN, CO 80439-7848
- **Practice address phone:** (303) 674-2273
- **Practice address fax:** (303) 670-2160
- **Mailing address:** PO BOX 1926, EVERGREEN, CO 80437-1926
- **Mailing address phone:** (303) 674-2273
- **Mailing address fax:** (303) 670-2160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 12/03/2008