Colorado Urology Center Pc

LBN: Colorado Urology Center Pc
Colorado Urology Center Pc is an health care organization with primary practice located at 400 State St , Fort Morgan CO 80701-2120. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Colorado Urology Center Pc can be contacted via phone (970) 542-0444, or through Fauconier, Ian Norman via phone (970) 542-0444.

Contact Information

Primary practice address
400 State St Fort Morgan CO 80701-2120
Fax: (970) 542-0111
Website:
Authorized official contact:
Name: Fauconier, Ian Norman Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1073704318
LBN Legal business name Colorado Urology Center Pc
DBA Doing business as
Authorized official Fauconier, Ian Norman Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2007
Last updated Feb 9th, 2010 - about 14 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 1073704318 NPPES
Colorado MEDICAID 56178239

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