Provider Demographics
NPI:1841551967
Name:COLORADO URGENT CARE ASSOCIATES, P.C.
Entity type:Organization
Organization Name:COLORADO URGENT CARE ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAREY
Authorized Official - Middle Name:T
Authorized Official - Last Name:PELTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:719-659-7272
Mailing Address - Street 1:3205 N ACADEMY BLVD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80917-5101
Mailing Address - Country:US
Mailing Address - Phone:719-776-3216
Mailing Address - Fax:719-776-3187
Practice Address - Street 1:3205 N ACADEMY BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80917-5101
Practice Address - Country:US
Practice Address - Phone:719-776-3216
Practice Address - Fax:719-776-3187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-05
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care