# NORTHEAST COLORADO FAMILY MEDICINE ASSOCIATES, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHEAST COLORADO FAMILY MEDICINE ASSOCIATES, P.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306620075
- **Legal business name:** NORTHEAST COLORADO FAMILY MEDICINE ASSOCIATES, P.C.
- **Authorized official:** CURTIS CARL CLARK (OWNER)
- **Authorized official phone:** (970) 522-1223

## Contact information

- **Practice address:** 1414 S 3RD AVE, STERLING, CO 80751-4650
- **Practice address phone:** (970) 740-3304
- **Mailing address:** 1405 S 8TH AVE STE 103, STERLING, CO 80751-4560
- **Mailing address phone:** (970) 740-3304
- **Mailing address fax:** (970) 522-4615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/23/2023
- **Last updated:** 08/23/2023