Internal Medicine Clinic Inc.

LBN: Internal Medicine Clinic Inc.
Internal Medicine Clinic Inc. is an health care organization with primary practice located at 2021 Battlecreek Dr Unit B , Fort Collins CO 80528-5120. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Internal Medicine Clinic Inc. can be contacted via phone (970) 224-9508, or through Goossens, Alicia D via phone (970) 224-9508.

Contact Information

Primary practice address
2021 Battlecreek Dr Unit B Fort Collins CO 80528-5120
Phone: (970) 224-9508
Fax: (970) 993-4289
Website:
Map and Directions
Authorized official contact:
Name: Goossens, Alicia D
Phone: (970) 224-9508

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 12-06712 Colorado

Profile Details

NPI number 1881725844
LBN Legal business name Internal Medicine Clinic Inc.
DBA Doing business as
Authorized official Goossens, Alicia D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Dec 4th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881725844 NPPES
Colorado MEDICAID 04014205

Popular Providers