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INTEGRATIVE MEDICINE CLINIC NPI 1871823203


NPI Information

NPI: 1871823203
Provider Name: INTEGRATIVE MEDICINE CLINIC

Other Name: SYMBIOTICS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
960 CHAMBERS AVE
A-203
EAGLE, CO
ZIP 81631
Phone: (970) 328-2044
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INTEGRATIVE MEDICINE CLINIC is a family medicine in Eagle, 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. INTEGRATIVE MEDICINE CLINIC NPI is 1871823203. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Symbiotics.

The provider's business location address is:

960 CHAMBERS AVE
A-203
EAGLE, CO
ZIP 81631
Phone: (970) 328-2044
Fax: (970) 328-0346

The provider's authorized official is Shannon Garton .
The authorized official title is Owner and has the following contact phone number (970) 390-1397.

The enumeration date for this NPI number is 1/7/2010 and was last updated on 1/7/2010.


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 Medicine40681COLORADOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
196554347MEDICAIDCOLORADO
2H54319MEDICARE UPINCOLORADO

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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