COLORADO MOUNTAIN MEDICAL LLC NPI 1073139267

NPI Information

NPI: 1073139267
Provider Name: COLORADO MOUNTAIN MEDICAL, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 06D2234508

Address:
323 W MAIN ST STE 101
FRISCO, CO
ZIP 80443
Phone: (970) 926-6340
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COLORADO MOUNTAIN MEDICAL, LLC is a multi-specialty clinic center in Frisco, CO. COLORADO MOUNTAIN MEDICAL, LLC NPI is 1073139267. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

323 W MAIN ST STE 101
FRISCO, CO
ZIP 80443-966
Phone: (970) 926-6340
Fax: (970) 926-6348

The provider's authorized official is Lisa Kerstiens .
The authorized official title is Physician Relations Manager and has the following contact phone number (970) 845-2903.

The CLIA number assigned to this NPI record is 06D2234508 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/23/2020 and was last updated on 1/15/2021.

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	Primary
1	207R00000X	Internal Medicine		No
2	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
3	261QM1300X	Clinic/Center	Multi-Specialty	Yes

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: 11/14/2023

NPI Synchronization or Removal

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