FOUNTAIN MEDICAL CENTER LLC NPI 1952729287

NPI Information

NPI: 1952729287
Provider Name: FOUNTAIN MEDICAL CENTER LLC

Doing Business As: UCHEALTH EMERGENCY ROOM

Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

CLIA Number: 06D2080711

Address:
7890 FOUNTAIN MESA RD
FOUNTAIN, CO
ZIP 80817
Phone: (972) 899-6650
Get Directions

FOUNTAIN MEDICAL CENTER LLC is an emergency care clinic center in Fountain, CO. FOUNTAIN MEDICAL CENTER LLC NPI is 1952729287. The provider is registered as an organization entity type.
The provider Is Doing Business As Uchealth Emergency Room.

The provider's business location address is:

7890 FOUNTAIN MESA RD
FOUNTAIN, CO
ZIP 80817-595
Phone: (972) 899-6650
Fax: (972) 899-5954

The provider's authorized official is Tim Fielding .
The authorized official title is Cfo and has the following contact phone number (972) 899-6650.

The CLIA number assigned to this NPI record is 06D2080711 - other - free-standing er with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/3/2014 and was last updated on 11/15/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0002X	Clinic/Center	Emergency Care	18J172	COLORADO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	434148	OTHER	COLORADO	JCAHO

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: 5/5/2024

NPI Synchronization or Removal

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