MEDICARE: NEW CASTLE FAMILY HEALTH PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	22427	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	120314	OTHER	CO	PINNNACOL WC GROUP #
2	NE198708	OTHER	CO	BCBS GROUP #
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811192610
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW CASTLE FAMILY HEALTH PC

Provider Business Mailing Address
First Line	:	820 CASTLE VALLEY BLVD
Second Line	:	SUITE 210
City	:	NEW CASTLE
State	:	CO
Zip	:	81647-9453
Country	:	US
Telephone Number	:	970-984-0651
Fax Number	:	970-984-0402

Provider Business Practice Location Address
First Line	:	820 CASTLE VALLEY BLVD
Second Line	:	SUITE 210
City	:	NEW CASTLE
State	:	CO
Zip	:	81647-9453
Country	:	US
Telephone Number	:	970-984-0651
Fax Number	:	970-984-0402

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DENNIS M EICHER
Credential	:	D.O.
Telephone Number	:	970-984-0651

Provider Enumeration Date	:	06/20/2007
Last Update Date	:	08/22/2020

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Directions to “NEW CASTLE FAMILY HEALTH PC ” Practice Location

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