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GLENWOOD MEDICAL ASSOC NPI 1427191501


NPI Information

NPI: 1427191501
Provider Name: GLENWOOD MEDICAL ASSOC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 06D0945593

Address:
1830 BLAKE AVE
GLENWOOD SPRINGS, CO
ZIP 81601
Phone: (970) 945-8503
Get Directions

GLENWOOD MEDICAL ASSOC is a family medicine in Glenwood Springs, 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. GLENWOOD MEDICAL ASSOC NPI is 1427191501. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1830 BLAKE AVE
GLENWOOD SPRINGS, CO
ZIP 81601
Phone: (970) 945-8503
Fax: (970) 945-0253

The provider's authorized official is Lionel Montoya .
The authorized official title is Cfo and has the following contact phone number (970) 945-8503.

The CLIA number assigned to this NPI record is 06D0945593 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 12/19/2017.


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
1207N00000XDermatologyNo
2207R00000XInternal MedicineNo
3207RG0100XInternal MedicineGastroenterologyNo
4207VG0400XObstetrics & GynecologyGynecologyNo
5207Q00000XFamily MedicineYes

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
104500088MEDICAIDCOLORADO

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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