Healthcare Provider Details

I. General information

NPI: 1962440412
Provider Name (Legal Business Name): MEADOWS FAMILY MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 17TH ST STE 500
DENVER CO
80202-2728
US

IV. Provider business mailing address

999 17TH ST STE 500
DENVER CO
80202-2728
US

V. Phone/Fax

Practice location:
  • Phone: 720-434-4876
  • Fax: 303-225-4246
Mailing address:
  • Phone: 720-434-4876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CAROL PITTMAN
Title or Position: OWNER
Credential: MD
Phone: 720-434-4876