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CHRIST CLINIC INC NPI 1265964704


NPI Information

NPI: 1265964704
Provider Name: CHRIST CLINIC INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 06D2057712

Address:
3920 S SHIELDS ST
FORT COLLINS, CO
ZIP 80526
Phone: (970) 481-2390
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CHRIST CLINIC INC is a family medicine in Fort Collins, 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. CHRIST CLINIC INC NPI is 1265964704. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3920 S SHIELDS ST
FORT COLLINS, CO
ZIP 80526-015
Phone: (970) 481-2390
Fax: (888) 801-1712

The provider's authorized official is Richard Edward Simmons .
The authorized official title is President and has the following contact phone number (970) 214-7419.

The CLIA number assigned to this NPI record is 06D2057712 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/3/2017 and was last updated on 4/3/2017.


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

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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