Desert River Family Medicine, LLC
NPI 1023773611ActiveOrganization· Family Medicine· Canon City, CO
Family Medicine in Canon City, Colorado, registered in NPPES in November 2021. The authorized official on file is Tara L. Robicheaux, Business Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023773611 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 8, 2021 |
| Last updated in NPPES | May 7, 2025 |
| Certified by provider | May 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Clinic/Center, Family Planning, Non-Surgical | 261QF0050X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO) |
|---|
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