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ROCKY MOUNTAIN FAMILY PRACTICE NPI 1184633364


NPI Information

NPI: 1184633364
Provider Name: ROCKY MOUNTAIN FAMILY PRACTICE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 06D0904454

Address:
205 S MAIN ST STE B
LONGMONT, CO
ZIP 80501
Phone: (303) 772-6244
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ROCKY MOUNTAIN FAMILY PRACTICE is a family medicine in Longmont, CO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ROCKY MOUNTAIN FAMILY PRACTICE NPI is 1184633364. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

205 S MAIN ST STE B
LONGMONT, CO
ZIP 80501-714
Phone: (303) 772-6244
Fax: (303) 702-1623

The provider's authorized official is James M Fretwell .
The authorized official title is Owner/president and has the following contact phone number (303) 772-6244.

The CLIA number assigned to this NPI record is 06D0904454 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 4/27/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineCOLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
183350870MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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