Provider Type Icon

MOFFAT FAMILY CLINIC LLC NPI 1568511855


NPI Information

NPI: 1568511855
Provider Name: MOFFAT FAMILY CLINIC, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 06D0680693

Address:
600 RUSSELL ST
CRAIG, CO
ZIP 81625
Phone: (970) 824-3252
Get Directions

MOFFAT FAMILY CLINIC, LLC is a family medicine in Craig, 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. MOFFAT FAMILY CLINIC, LLC NPI is 1568511855. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

600 RUSSELL ST
CRAIG, CO
ZIP 81625-018
Phone: (970) 824-3252
Fax: (970) 824-8025

The provider's authorized official is Larry Kipe .
The authorized official title is Partner and has the following contact phone number (970) 824-3252.

The CLIA number assigned to this NPI record is 06D0680693 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/9/2007 and was last updated on 5/1/2015.


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

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
1CS7054OTHERCOLORADOANTHEM
204624045MEDICAIDCOLORADO
3C62404MEDICARE ID-TYPE UNSPECIFIEDCOLORADO
41568511855MEDICARE PINCOLORADO

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.