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MONTROSE COUNTY SCHOOL DISTRICT RE-1J NPI 1225347339


NPI Information

NPI: 1225347339
Provider Name: MONTROSE COUNTY SCHOOL DISTRICT RE-1J

Doing Business As: NORTHSIDE CHILD HEALTH CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 06D1075613

Address:
528 N UNCOMPAHGRE AVE
MONTROSE, CO
ZIP 81401
Phone: (970) 240-6438
Get Directions

MONTROSE COUNTY SCHOOL DISTRICT RE-1J is a family medicine in Montrose, CO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MONTROSE COUNTY SCHOOL DISTRICT RE-1J NPI is 1225347339. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northside Child Health Center.

The provider's business location address is:

528 N UNCOMPAHGRE AVE
MONTROSE, CO
ZIP 81401-127
Phone: (970) 240-6438

The provider's authorized official is Karin Slater .
The authorized official title is Chief Financial Officer and has the following contact phone number (970) 252-7921.

The CLIA number assigned to this NPI record is 06D1075613 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2010 and was last updated on 11/26/2013.


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
1207Q00000XFamily MedicineYes

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
183121285MEDICAIDCOLORADO
205134064MEDICAIDCOLORADO

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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