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FRANKTOWN FAMILY MEDICINE LLC NPI 1760650832


NPI Information

NPI: 1760650832
Provider Name: FRANKTOWN FAMILY MEDICINE, LLC

Former Legal Business Name: INTEGRATIVE MEDICINE CENTERS

Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

CLIA Number: 06D2098891

Address:
7601 BURNING TREE DR
FRANKTOWN, CO
ZIP 80116
Phone: (303) 688-1111
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FRANKTOWN FAMILY MEDICINE, LLC is a medical physician assistant in Franktown, CO. FRANKTOWN FAMILY MEDICINE, LLC NPI is 1760650832. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Integrative Medicine Centers.

The provider's business location address is:

7601 BURNING TREE DR
FRANKTOWN, CO
ZIP 80116-540
Phone: (303) 688-1111
Fax: (720) 459-7019

The provider's authorized official is Reiner G Kremer .
The authorized official title is Owner and has the following contact phone number (303) 688-1111.

The CLIA number assigned to this NPI record is 06D2098891 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2008 and was last updated on 7/2/2015.


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
1363AM0700XPhysician AssistantMedicalPA0003980COLORADOYes

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
1CK0603MEDICARE PINCOLORADO
2T60443MEDICARE UPINCOLORADO

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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