EDWARDS MEDICAL PROVIDER GROUP NPI 1619573904

NPI Information

NPI: 1619573904
Provider Name: EDWARDS MEDICAL PROVIDER GROUP

Former Legal Business Name: EDWARDS MEDICAL PROVIDER GROUP

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2205 CORDILLERA WAY STE LL
EDWARDS, CO
ZIP 81632
Phone: (970) 693-0015
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EDWARDS MEDICAL PROVIDER GROUP is a multi-specialty clinic center in Edwards, CO. EDWARDS MEDICAL PROVIDER GROUP NPI is 1619573904. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Edwards Medical Provider Group.

The provider's business location address is:

2205 CORDILLERA WAY STE LL
EDWARDS, CO
ZIP 81632-290
Phone: (970) 693-0015

The provider's authorized official is Christopher Austin .
The authorized official title is Cfo and has the following contact phone number (714) 926-5846.

The enumeration date for this NPI number is 12/10/2020 and was last updated on 2/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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