MOFFAT FAMILY CLINIC LLC NPI 1568511855

NPI Information

  • NPI: 1568511855
  • Provider Name: MOFFAT FAMILY CLINIC, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 600 RUSSELL ST
    CRAIG, CO
    ZIP 81625
  • Phone: (970) 824-3252

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NPI Details

MOFFAT FAMILY CLINIC, LLC is a family medicine in Craig, 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. MOFFAT FAMILY CLINIC, LLC NPI is 1568511855. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

600 RUSSELL ST
CRAIG, CO
ZIP 81625-018
Phone: (970) 824-3252
Fax: (970) 824-8025

The provider's authorized official is Larry Kipe .
The authorized official title is Partner and has the following contact phone number (970) 824-3252.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 5/1/2015.

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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CS7054OTHERCOLORADOANTHEM
204624045MEDICAIDCOLORADO
3C62404MEDICARE ID-TYPE UNSPECIFIEDCOLORADO
41568511855MEDICARE PINCOLORADO

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: 11/21/2025

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