Ncmc Specialty Clinic

LBN: Ncmc Specialty Clinic
Ncmc Specialty Clinic is an health care organization with primary practice located at 1517 16Th Avenue Ct , Greeley CO 80631-4574. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Ncmc Specialty Clinic can be contacted via phone (970) 392-2496, or through Laraway, Dennis via phone (602) 747-4000.

Contact Information

Primary practice address
1517 16Th Avenue Ct Greeley CO 80631-4574
Phone: (970) 392-2496
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Laraway, Dennis
Phone: (602) 747-4000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1619116159
LBN Legal business name Ncmc Specialty Clinic
DBA Doing business as
Authorized official Laraway, Dennis
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 6th, 2009
Last updated Dec 22nd, 2021 - about 3 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 1619116159 NPPES
Colorado MEDICAID PENDING

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