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FRONT RANGE INTEGRATED CLINIC NPI 1871039784


NPI Information

NPI: 1871039784
Provider Name: FRONT RANGE INTEGRATED CLINIC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 06D2102720

Address:
400 INDIANA ST STE 320
GOLDEN, CO
ZIP 80401
Phone: (303) 641-2254
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FRONT RANGE INTEGRATED CLINIC is a specialist in Golden, CO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FRONT RANGE INTEGRATED CLINIC NPI is 1871039784. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

400 INDIANA ST STE 320
GOLDEN, CO
ZIP 80401-033
Phone: (303) 641-2254

The provider's authorized official is Matt Miller .
The authorized official title is Partner and has the following contact phone number (303) 641-2254.

The CLIA number assigned to this NPI record is 06D2102720 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/17/2017 and was last updated on 1/17/2017.


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
1174400000XSpecialistYes

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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