KEYSTONE PRIMARY CARE – NPI #1386261493
Clinic/Center

KEYSTONE PRIMARY CARE is an AHC clinic located in AURORA, CO. NPPES has assigned the NPI number 1386261493 to KEYSTONE PRIMARY CARE on July 06, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KEYSTONE PRIMARY CARE” is a dba name, the actual legal business name for this organization is KEYSTONE PRIMARY CARE LLC. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 2 years ago on Dec 22, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEYSTONE PRIMARY CARE below.

NPI Profile for
KEYSTONE PRIMARY CARE LLC

NPI Number
1386261493
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KEYSTONE PRIMARY CARE LLC
Doing Business As (dba): KEYSTONE PRIMARY CARE
Primary location
11111 E MISSISSIPPI AVE STE 112
AURORA, CO 80012-3106
Phone: (303) 755-5542 Fax: (720) 749-2121
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
FATIMAH JOHNSON
NP
Phone: (303) 755-5542
Updated
Certification Date
Dec 22, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KEYSTONE PRIMARY CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICARE653232
otherNP LICCO0993831
otherNPICO1871081737
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.