Healthcare Provider Details

I. General information

NPI: 1669584009
Provider Name (Legal Business Name): EXPRESS CARE PLUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2141 N ACADEMY CIR
COLORADO SPRINGS CO
80909
US

IV. Provider business mailing address

2141 N ACADEMY CIR
COLORADO SPRINGS CO
80909
US

V. Phone/Fax

Practice location:
  • Phone: 719-597-4200
  • Fax: 719-597-4495
Mailing address:
  • Phone: 719-597-4200
  • Fax: 719-597-4495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VERNON M RUBICK
Title or Position: D.O./ PHYSICIAN ADMINISTRATOR
Credential: D.O.
Phone: 719-597-4200