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FORT LEWIS COLLEGE NPI 1326726704


NPI Information

NPI: 1326726704
Provider Name: FORT LEWIS COLLEGE
Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

CLIA Number: 06D0688864

Address:
1000 RIM DR # 170
DURANGO, CO
ZIP 81301
Phone: (970) 247-7355
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FORT LEWIS COLLEGE is a student health clinic center in Durango, CO. FORT LEWIS COLLEGE NPI is 1326726704. The provider is registered as an organization entity type.

The provider's business location address is:

1000 RIM DR # 170
DURANGO, CO
ZIP 81301-908
Phone: (970) 247-7355
Fax: (970) 247-7621

The provider's authorized official is Christina Rene Klotz .
The authorized official title is Clinical Director and has the following contact phone number (970) 247-7355.

The CLIA number assigned to this NPI record is 06D0688864 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/6/2023 and was last updated on 7/17/2023.


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
1261QS1000XClinic/CenterStudent HealthYes

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: 5/5/2024

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.