Big Tree Medical Group Llc
LBN: Big Tree Medical Group Llc
Big Tree Medical Group Llc is an health care organization with primary practice located at 1701 S Federal Blvd , Denver CO 80219-4898. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Big Tree Medical Group Llc can be contacted via phone (720) 323-0621, or through Vanbang, Antony Nguyen via phone (720) 323-0621.
Contact Information
Primary practice address
1701 S Federal Blvd
Denver CO 80219-4898
Phone: (720) 323-0621
Fax: (303) 934-4036
Website:
Authorized official contact:
Name: Vanbang, Antony Nguyen Doctor of Medicine (MD)
Phone: (720) 323-0621
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X |
Profile Details
| NPI number | 1063167211 |
|---|---|
| LBN Legal business name | Big Tree Medical Group Llc |
| DBA Doing business as | Big Tree Medical Group Llc |
| Authorized official | Vanbang, Antony Nguyen Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 16th, 2022 |
| Last updated | Mar 8th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063167211 | NPPES |
| Colorado | Other | DR.0054747 | COLORADO DEPARTMENT OF REGULATORY AGENCIES DIVISION OF PROFESSIONS AND OCCUPATIO |
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