FRONT RANGE CLINIC INC. NPI 1215523873

NPI Information

NPI: 1215523873
Provider Name: FRONT RANGE CLINIC INC.
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 06D2166138

Address:
2004 W 15TH ST STE 3
LOVELAND, CO
ZIP 80538
Phone: (970) 617-8128
Get Directions

FRONT RANGE CLINIC INC. is an addiction medicine family medicine in Loveland, CO. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. FRONT RANGE CLINIC INC. NPI is 1215523873. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2004 W 15TH ST STE 3
LOVELAND, CO
ZIP 80538-551
Phone: (970) 617-8128

The provider's authorized official is Clark Steven Mccoy .
The authorized official title is President and has the following contact phone number (970) 493-9193.

The CLIA number assigned to this NPI record is 06D2166138 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/17/2020 and was last updated on 12/17/2020.

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	207Q00000X	Family Medicine				No
2	207QA0401X	Family Medicine	Addiction Medicine			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

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.

« Previous NPI

Next NPI »