Provider Demographics
NPI:1912187980
Name:FIRST HEALTH FAMILY MEDICINE, LLC
Entity Type:Organization
Organization Name:FIRST HEALTH FAMILY MEDICINE, LLC
Other - Org Name:JULIA E. JUNG, M.D.
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:JUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-755-8100
Mailing Address - Street 1:1411 S POTOMAC ST
Mailing Address - Street 2:SUITE 170
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4536
Mailing Address - Country:US
Mailing Address - Phone:303-755-8100
Mailing Address - Fax:303-755-8101
Practice Address - Street 1:1411 S POTOMAC ST
Practice Address - Street 2:SUITE 170
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4536
Practice Address - Country:US
Practice Address - Phone:303-755-8100
Practice Address - Fax:303-755-8101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-07
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO39162207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COH71158Medicare UPIN
CO476338Medicare Oscar/Certification