COLCHIS MEDICAL SERVICES – NPI #1366213183
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

COLCHIS MEDICAL SERVICES is a provider located in DOVER, DE. NPPES has assigned the NPI number 1366213183 to COLCHIS MEDICAL SERVICES on January 10, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was last updated on Jul 07, 2025. 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 COLCHIS MEDICAL SERVICES below.

NPI Profile for
COLCHIS MEDICAL SERVICES

NPI Number
1366213183
Enumeration Date

(more than 2 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
COLCHIS MEDICAL SERVICES
Primary location
1111B S GOVERNORS AVE STE 25428
DOVER, DE 19904-6903
Phone: (909) 787-2342 Fax:
Mailing address
1980 FESTIVAL PLAZA DR STE 400
LAS VEGAS, NV 89135-2930
Phone: Fax:
Organization Subpart
No
Authorized Official
STEVEN PEACOCK
PRESIDENT
Phone: (909) 787-2342
Updated
Certification Date
Jul 07, 2025

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.

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
207QA0505X
- Family Medicine / Adult Medicine (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.