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TRAILHEAD CLINICS GLENWOOD SPRINGS NPI 1477221372


NPI Information

NPI: 1477221372
Provider Name: TRAILHEAD CLINICS GLENWOOD SPRINGS
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 06D2240438

Address:
1607 GRAND AVE UNIT 22
GLENWOOD SPRINGS, CO
ZIP 81601
Phone: (970) 404-8700
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TRAILHEAD CLINICS GLENWOOD SPRINGS 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. TRAILHEAD CLINICS GLENWOOD SPRINGS NPI is 1477221372. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1607 GRAND AVE UNIT 22
GLENWOOD SPRINGS, CO
ZIP 81601-873
Phone: (970) 404-8700
Fax: (970) 945-9581

The provider's authorized official is Robert Boyer .
The authorized official title is Owner and has the following contact phone number (970) 404-8700.

The CLIA number assigned to this NPI record is 06D2240438 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/3/2021 and was last updated on 9/9/2021.


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 MedicineYes

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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