Green Mountain Clinic - Primary Care

LBN: Intermountain Medical Group Denver, Llc
Green Mountain Clinic - Primary Care is an health care organization with primary practice located at 12790 W Alameda Pkwy Ste A , Lakewood CO 80228-2850. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Intermountain Medical Group Denver, Llc can be contacted via phone (303) 403-6350, or through Mcdaniel, Jon via phone (303) 272-0231.

Contact Information

Primary practice address
12790 W Alameda Pkwy Ste A Lakewood CO 80228-2850
Phone: (303) 403-6350
Fax: (303) 403-6372
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
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X

Profile Details

NPI number 1992313373
LBN Legal business name Intermountain Medical Group Denver, Llc
DBA Doing business as Green Mountain Clinic - Primary Care
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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