Cmd Professional Provider Network Llc

LBN: Cmd Professional Provider Network Llc
Cmd Professional Provider Network Llc is an health care organization with primary practice located at 7345 S Pierce St Suite 202, Littleton CO 80128-7207. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Cmd Professional Provider Network Llc can be contacted via phone (720) 837-7593, or through Coppin, Leslie via phone (720) 837-7593.

Contact Information

Primary practice address
7345 S Pierce St Suite 202 Littleton CO 80128-7207
Phone: (720) 837-7593
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Coppin, Leslie
Phone: (720) 837-7593

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1184764771
LBN Legal business name Cmd Professional Provider Network Llc
DBA Doing business as
Authorized official Coppin, Leslie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Jul 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184764771 NPPES
Colorado MEDICAID 86484079
Colorado Other TIN

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