Madison Street Provider Network Inc

LBN: Madison Street Provider Network Inc
Madison Street Provider Network Inc is an health care organization with primary practice located at 4103 Boardwalk Dr Unit 100 , Fort Collins CO 80525-5933. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Madison Street Provider Network Inc can be contacted via phone (303) 393-8565, or through Neal, George L via phone (469) 214-0144.

Contact Information

Primary practice address
4103 Boardwalk Dr Unit 100 Fort Collins CO 80525-5933
Phone: (303) 393-8565
Fax: (303) 377-2022
Website:
Map and Directions
Authorized official contact:
Name: Neal, George L
Phone: (469) 214-0144

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1154928331
LBN Legal business name Madison Street Provider Network Inc
DBA Doing business as
Authorized official Neal, George L
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 1st, 2020
Last updated Oct 1st, 2020 - about 5 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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