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FRONT RANGE FAMILY MEDICINE NPI 1528275906


NPI Information

NPI: 1528275906
Provider Name: FRONT RANGE FAMILY MEDICINE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 06D1034772

Address:
3260 E WOODMEN RD
SUITE 210
COLORADO SPRINGS, CO
ZIP 80920
Phone: (719) 262-0852
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FRONT RANGE FAMILY MEDICINE is a family medicine in Colorado 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. FRONT RANGE FAMILY MEDICINE NPI is 1528275906. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3260 E WOODMEN RD
SUITE 210
COLORADO SPRINGS, CO
ZIP 80920-587
Phone: (719) 262-0852
Fax: (719) 262-0853

The provider's authorized official is Brad J Reedy .
The authorized official title is Owner and has the following contact phone number (719) 262-0852.

The CLIA number assigned to this NPI record is 06D1034772 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/16/2007 and was last updated on 8/13/2007.


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 Medicine40494COLORADOYes

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
140494OTHERCOLORADOSTATE LICENSE
2H67878MEDICARE UPIN
3800649MEDICARE ID-TYPE UNSPECIFIEDCOLORADO
4800650MEDICARE ID-TYPE UNSPECIFIEDCOLORADO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.