Longmont Clinic Pc

LBN: Longmont Clinic Pc
Longmont Clinic Pc is an health care organization with primary practice located at 1925 W Mountain View Ave , Longmont CO 80501-3128. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Longmont Clinic Pc can be contacted via phone (720) 494-3173, or through Stathis, John P. via phone (720) 494-3173.

Contact Information

Primary practice address
1925 W Mountain View Ave Longmont CO 80501-3128
Phone: (720) 494-3173
Fax: (720) 494-3107
Website:
Map and Directions
Authorized official contact:
Name: Stathis, John P. Doctor of Medicine (MD)
Phone: (720) 494-3173

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1043269772
LBN Legal business name Longmont Clinic Pc
DBA Doing business as
Authorized official Stathis, John P. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2006
Last updated Dec 12th, 2013 - about 12 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 1043269772 NPPES
Colorado Other 44008 MEDICARE GROUP NUMBER

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