Healthcare Provider Details

I. General information

NPI: 1740068030
Provider Name (Legal Business Name): HAMME HEALTH ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2023
Last Update Date: 09/18/2023
Certification Date: 09/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15715 PAIUTE CIR
MONUMENT CO
80132-6092
US

IV. Provider business mailing address

15715 PAIUTE CIR
MONUMENT CO
80132-6092
US

V. Phone/Fax

Practice location:
  • Phone: 719-299-0249
  • Fax:
Mailing address:
  • Phone: 719-299-0249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JAMES HAMME
Title or Position: OWNER
Credential:
Phone: 719-299-0249