Centennial Medical Clinic
LBN: Centennial Medical Clinic
Centennial Medical Clinic is an health care organization with primary practice located at 232 W 4Th St , Loveland CO 80537-5525. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Centennial Medical Clinic can be contacted via phone (970) 667-3565, or through Riley, Jenny via phone (970) 667-3565.
Contact Information
Primary practice address
232 W 4Th St
Loveland CO 80537-5525
Phone: (970) 667-3565
Fax: (970) 667-2343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15838 | Colorado |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 22781 | Colorado |
Profile Details
| NPI number | 1568515492 |
|---|---|
| LBN Legal business name | Centennial Medical Clinic |
| DBA Doing business as | |
| Authorized official | Riley, Jenny |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Sep 26th, 2007 - about 17 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 | 1568515492 | NPPES |
| Colorado | MEDICAID | 04925087 |
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