ROCKY MOUNTAIN FAMILY PHYSICIANS NPI 1215054259

NPI Information

NPI: 1215054259
Provider Name: ROCKY MOUNTAIN FAMILY PHYSICIANS
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 06D0516064

Address:
1124 E ELIZABETH ST
BLDG C
FORT COLLINS, CO
ZIP 80524
Phone: (970) 484-0798
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ROCKY MOUNTAIN FAMILY PHYSICIANS is a primary care clinic center in Fort Collins, CO. ROCKY MOUNTAIN FAMILY PHYSICIANS NPI is 1215054259. The provider is registered as an organization entity type.

The provider's business location address is:

1124 E ELIZABETH ST
BLDG C
FORT COLLINS, CO
ZIP 80524-052
Phone: (970) 484-0798
Fax: (970) 482-0679

The provider's authorized official is Richard L Mcmullen .
The authorized official title is Administrator and has the following contact phone number (970) 484-0798.

The CLIA number assigned to this NPI record is 06D0516064 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 2/11/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2500X	Clinic/Center	Medical Specialty			No
2	261QP2300X	Clinic/Center	Primary Care			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CE3108	MEDICARE ID-TYPE UNSPECIFIED	COLORADO	MEDICARE
2	04007324	MEDICAID	COLORADO

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: 5/5/2024

NPI Synchronization or Removal

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