INTERMOUNTAIN MEDICAL GROUP DENVER LLC NPI 1962270371

NPI Information

  • NPI: 1962270371
  • Provider Name: INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: EAST CROSSROADS CLINIC - PRIMARY CARE
  • CLIA Number: 06D2306709
  • Address: 23750 E 14TH AVE
    SUITE 250
    AURORA, CO
    ZIP 80018
  • Phone: (303) 812-5200

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NPI Details

INTERMOUNTAIN MEDICAL GROUP DENVER, LLC is a family medicine in Aurora, 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. INTERMOUNTAIN MEDICAL GROUP DENVER, LLC NPI is 1962270371. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As East Crossroads Clinic - Primary Care.

The provider's business location address is:

23750 E 14TH AVE
SUITE 250
AURORA, CO
ZIP 80018-973
Phone: (303) 812-5200
Fax: (303) 272-0262

The provider's authorized official is Jon Mcdaniel .
The authorized official title is Vp Finance Medical Group and has the following contact phone number (303) 272-0231.

The CLIA number assigned to this NPI record is 06D2306709 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2023 and was last updated on 6/28/2024.

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
2207VG0400XObstetrics & GynecologyGynecologyNo
3207VX0000XObstetrics & GynecologyObstetricsNo

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: 3/30/2025

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