BLUE NILE PRIMARY CARE LLC NPI 1275072472

NPI Information

NPI: 1275072472
Provider Name: BLUE NILE PRIMARY CARE, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 06D2298708

Address:
11275 E MISSISSIPPI AVE STE 2W2
AURORA, CO
ZIP 80012
Phone: (303) 856-7177
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BLUE NILE PRIMARY CARE, LLC is a primary care clinic center in Aurora, CO. BLUE NILE PRIMARY CARE, LLC NPI is 1275072472. The provider is registered as an organization entity type.

The provider's business location address is:

11275 E MISSISSIPPI AVE STE 2W2
AURORA, CO
ZIP 80012-263
Phone: (303) 856-7177

The provider's authorized official is Jason A Hicks .
The authorized official title is President and has the following contact phone number (303) 552-0657.

The CLIA number assigned to this NPI record is 06D2298708 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/21/2017 and was last updated on 2/21/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	DR0046896	COLORADO	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: 4/28/2024

NPI Synchronization or Removal

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