Provider Demographics
NPI:1437282274
Name:HOPE K. BARKHURST, M.D., P.C.
Entity Type:Organization
Organization Name:HOPE K. BARKHURST, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DON
Authorized Official - Middle Name:R
Authorized Official - Last Name:BARKHURST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-564-8086
Mailing Address - Street 1:2095 N. DOLORES RD.
Mailing Address - Street 2:BOX 1687
Mailing Address - City:CORTEZ
Mailing Address - State:CO
Mailing Address - Zip Code:81321-1687
Mailing Address - Country:US
Mailing Address - Phone:970-564-8086
Mailing Address - Fax:970-564-8087
Practice Address - Street 1:2095 N. DOLORES RD.
Practice Address - Street 2:
Practice Address - City:CORTEZ
Practice Address - State:CO
Practice Address - Zip Code:81321-1687
Practice Address - Country:US
Practice Address - Phone:970-564-8086
Practice Address - Fax:970-564-8087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO53085272Medicaid
CO53085272Medicaid