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MEDNOW CLINICS INC NPI 1932507613


NPI Information

NPI: 1932507613
Provider Name: MEDNOW CLINICS, INC

Doing Business As: SOUTH LOGAN FAMILY PRACTICE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 06D0513028

Address:
895 S LOGAN ST
DENVER, CO
ZIP 80209
Phone: (303) 733-3764
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MEDNOW CLINICS, INC is a primary care clinic center in Denver, CO. MEDNOW CLINICS, INC NPI is 1932507613. The provider is registered as an organization entity type.
The provider Is Doing Business As South Logan Family Practice.

The provider's business location address is:

895 S LOGAN ST
DENVER, CO
ZIP 80209-127
Phone: (303) 733-3764
Fax: (303) 733-0868

The provider's authorized official is Nathaniel J Moore .
The authorized official title is Owner and has the following contact phone number (303) 733-3764.

The CLIA number assigned to this NPI record is 06D0513028 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2014 and was last updated on 11/6/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary Care35543COLORADOYes

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
101355437MEDICAIDCOLORADO

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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