Provider Demographics
NPI:1568583102
Name:JAMES M SATT MD PC
Entity Type:Organization
Organization Name:JAMES M SATT MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:SATT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:719-254-7381
Mailing Address - Street 1:1016 ELM AVENUE
Mailing Address - Street 2:
Mailing Address - City:ROCKY FORD
Mailing Address - State:CO
Mailing Address - Zip Code:81067
Mailing Address - Country:US
Mailing Address - Phone:719-254-7381
Mailing Address - Fax:719-254-3030
Practice Address - Street 1:1016 ELM AVE
Practice Address - Street 2:
Practice Address - City:ROCKY FORD
Practice Address - State:CO
Practice Address - Zip Code:81067-1328
Practice Address - Country:US
Practice Address - Phone:719-254-7381
Practice Address - Fax:719-254-3030
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JAMES M SATT MD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-02
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO23516261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04008157Medicaid
CO04008157Medicaid
C79961Medicare ID - Type Unspecified
C79961Medicare PIN