BIG TREE MEDICAL GROUP LLC NPI 1063167211

NPI Information

NPI: 1063167211
Provider Name: BIG TREE MEDICAL GROUP LLC

Doing Business As: BIG TREE MEDICAL GROUP LLC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1701 S FEDERAL BLVD
DENVER, CO
ZIP 80219
Phone: (720) 323-0621
Get Directions

BIG TREE MEDICAL GROUP LLC is a federally qualified health center (fqhc) clinic center in Denver, CO. BIG TREE MEDICAL GROUP LLC NPI is 1063167211. The provider is registered as an organization entity type.
The provider Is Doing Business As Big Tree Medical Group Llc.

The provider's business location address is:

1701 S FEDERAL BLVD
DENVER, CO
ZIP 80219-898
Phone: (720) 323-0621
Fax: (303) 934-4036

The provider's authorized official is Antony Nguyen Vanbang .
The authorized official title is Primary Provider and has the following contact phone number (720) 323-0621.

The enumeration date for this NPI number is 2/16/2022 and was last updated on 3/8/2022.

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	261QU0200X	Clinic/Center	Urgent Care			No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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	DR.0054747	OTHER	COLORADO	COLORADO DEPARTMENT OF REGULATORY AGENCIES DIVISION OF PROFESSIONS AND OCCUPATIO

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

NPI Synchronization or Removal

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