The Little Clinic Of Colorado Llc
LBN: The Little Clinic Of Colorado Llc
The Little Clinic Of Colorado Llc is an health care organization with primary practice located at 1842 N College Ave , Fort Collins CO 80524-1323. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty.
The Little Clinic Of Colorado Llc can be contacted via phone (970) 494-6975, or through Watkins, Marc Robert via phone (615) 425-4221.
Contact Information
Primary practice address
1842 N College Ave
Fort Collins CO 80524-1323
Phone: (970) 494-6975
Fax:
Website:
Authorized official contact:
Name: Watkins, Marc Robert Doctor of Medicine (MD)
Phone: (615) 425-4221
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1679170484 |
|---|---|
| LBN Legal business name | The Little Clinic Of Colorado Llc |
| DBA Doing business as | |
| Authorized official | Watkins, Marc Robert Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 5th, 2020 |
| Last updated | Oct 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679170484 | NPPES |
| Colorado | MEDICAID | 9000165045 |
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