Organization
MEDCARE LLC
Active
Parent organization
MEDCARE LLC
Other names
Fairplay Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDCARE LLC
Authorized official
MS. JOANN M KARGUL FNP-BC (PRESIDENT)
(719) 836-0500
Entity
Organization
Contact information
Practice address
45 FRONTAGE ROAD, FAIRPLAY, CO 80440
(719) 836-0500
(719) 836-0515
Mailing address
PO BOX 7399, PMB#453, BRECKENRIDGE, CO 80424-7399
(719) 836-0500
(719) 836-0515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0184663
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093070344
MEDICARE NPI
CO
01
—
1669498838
JOANN KARGUL
CO
Enumeration date
01/14/2014
Last updated
01/16/2014
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