Dakota Ridge Family Medicine, Pc

LBN: Dakota Ridge Family Medicine, Pc
Dakota Ridge Family Medicine, Pc is an health care organization with primary practice located at 2995 Baseline Rd Suite 210, Boulder CO 80303-2318. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Dakota Ridge Family Medicine, Pc can be contacted via phone (303) 443-2544, or through Mccay, Vickie E via phone (303) 443-2544.

Contact Information

Primary practice address
2995 Baseline Rd Suite 210 Boulder CO 80303-2318
Phone: (303) 443-2544
Fax: (303) 443-6476
Website:
Map and Directions
Authorized official contact:
Name: Mccay, Vickie E
Phone: (303) 443-2544

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1720043888
LBN Legal business name Dakota Ridge Family Medicine, Pc
DBA Doing business as
Authorized official Mccay, Vickie E
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2006
Last updated Oct 25th, 2007 - about 18 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 1720043888 NPPES
Colorado MEDICAID 83482270

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