Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sangre De Cristo Family Practice Assoc , PC

Organization Primary Care Clinic/Center · NPI 1962536326

Sangre De Cristo Family Practice Assoc , PC is a Primary Care Clinic/Center in Canon City, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

712 Macon Ave
Canon City, CO 81212-3314
Phone: (719) 275-8646
Fax: (888) 484-0223
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 27050 (CO)

Record details

NPI number1962536326
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Banker — President · (719) 275-8646
NPI enumeratedMarch 15, 2007
Last updated in NPPESJanuary 5, 2016
Mailing address712 Macon Ave, Canon City, CO 81212-3314

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