Organization
PAGOSA SPRINGS FAMILY MEDICINE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES C PRUITT M.D. (OWNER)
(970) 731-4131
Entity
Organization
Contact information
Practice address
75 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147-8330
(970) 731-4131
(970) 731-9384
Mailing address
PO BOX 7638, LOVELAND, CO 80537-0638
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06D0518606
NM BCBS
NM
05
—
74603051
—
CO
01
—
PAP07008
BCBS
CO
Enumeration date
03/20/2007
Last updated
05/15/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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