Front Range Clinic Inc.
LBN: Front Range Clinic Inc.
Front Range Clinic Inc. is an health care organization with primary practice located at 11172 Huron St Ste 20 , Northglenn CO 80234-4380. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty.
Front Range Clinic Inc. can be contacted via phone (303) 568-9694, or through Mccoy, Clark via phone (352) 214-7180.
Contact Information
Primary practice address
11172 Huron St Ste 20
Northglenn CO 80234-4380
Phone: (303) 568-9694
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0054001 | Colorado |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 0054001 | Colorado |
Profile Details
| NPI number | 1740706035 |
|---|---|
| LBN Legal business name | Front Range Clinic Inc. |
| DBA Doing business as | |
| Authorized official | Mccoy, Clark Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 17th, 2017 |
| Last updated | Dec 17th, 2020 - 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 | 1740706035 | NPPES |
| Colorado | MEDICAID | 1598135451 |
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