Medcare LLC
Nurse Practitioner, Family in Fairplay, CO. Organization (NPI-2).
NPI number1154743979
StatusActive
Last updated in NPPESJan 16, 2014
Details
- NPI
- 1154743979
- Entity type
- Organization (NPI-2)
- Legal business name
- Medcare LLC
- Organization subpart
- Yes
- Enumeration date
- Jan 14, 2014
- Last updated
- Jan 16, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0184663 | CO | Yes |
Other names
- Fairplay Family Practice (Doing Business As)
Practice location
45 Frontage RoadFairplay, CO 80440
Phone 719-836-0500 · Fax 719-836-0515
Mailing address
Po Box 7399Pmb#453
Breckenridge, CO 80424-7399
Phone 719-836-0500 · Fax 719-836-0515
Authorized official
Joann M Kargul
President
7198360500
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