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Gateway To Success, Pc
Medical Specialty Clinic/Center in Canon City, Colorado
NPI 1629422290

Gateway To Success, Pc is a Medical Specialty Clinic/Center based in Canon City, CO and is specialized in Medical Specialty. Gateway To Success, Pc practices in Canon City, CO. The NPI Number for Gateway To Success, Pc is 1629422290 and holds a License No. (Colorado).

The current practice location address for Gateway To Success, Pc is 602 Yale Pl, Canon City, CO and can be reached out via phone at 719-275-0700 and via fax at 719-896-2874.

Location: 602 Yale Pl, Canon City, CO, 81215-1748
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629422290
Provider Name
Gateway To Success, Pc
Credential
Provider Entity Type
Organization
Address
602 Yale Pl, Canon City, CO, 81215-1748
Phone Number
719-275-0700
Fax Number
719-896-2874
Provider Enumeration Date
04/20/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
90000125324 05 CO
institution
Provider Business Practice Location Address Details
Address
602 Yale Pl
City
Canon City
State
Colorado
Zip
81212-4611
Phone Number
719-275-0700
Fax Number
719-896-2874
person
Provider Business Mailing Address Details
Address
602 Yale Pl
City
Canon City
State
Colorado
Zip
81212-4611
Phone Number
719-275-0700
Fax Number
719-896-2874
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
(Colorado)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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