Quail Creek Clinic

LBN: Intermountain Medical Group Denver, Llc
Quail Creek Clinic is an health care organization with primary practice located at 2055 W 136Th Ave Ste B118 , Broomfield CO 80023-9308. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Intermountain Medical Group Denver, Llc can be contacted via phone (303) 673-1570, or through Mcdaniel, Jon via phone (303) 272-0231.

Contact Information

Primary practice address
2055 W 136Th Ave Ste B118 Broomfield CO 80023-9308
Phone: (303) 673-1570
Fax: (303) 673-1331
Website:
Map and Directions
Authorized official contact:
Name: Mcdaniel, Jon
Phone: (303) 272-0231

Health care specialties

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

Profile Details

NPI number 1760090146
LBN Legal business name Intermountain Medical Group Denver, Llc
DBA Doing business as Quail Creek Clinic
Authorized official Mcdaniel, Jon
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 21st, 2020
Last updated Jun 28th, 2024 - about last year

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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