Provider Demographics
NPI:1417443003
Name:SET OF COLORADO SPRINGS
Entity Type:Organization
Organization Name:SET OF COLORADO SPRINGS
Other - Org Name:SET FAMILY MEDICAL CLINICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, COMMUNITY BENEFIT
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:W
Authorized Official - Last Name:PATTEN
Authorized Official - Suffix:JR
Authorized Official - Credentials:JD, MPH
Authorized Official - Phone:303-673-7305
Mailing Address - Street 1:8140 S HOLLY ST
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122
Mailing Address - Country:US
Mailing Address - Phone:888-269-7001
Mailing Address - Fax:303-764-6640
Practice Address - Street 1:2864 S CIRCLE DR
Practice Address - Street 2:STE 450
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906
Practice Address - Country:US
Practice Address - Phone:719-776-8850
Practice Address - Fax:719-776-8855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-06
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty