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FOUR CORNERS HEART CLINIC NPI 1942260377


NPI Information

NPI: 1942260377
Provider Name: FOUR CORNERS HEART CLINIC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1800 E 3RD AVE
SUITE112
DURANGO, CO
ZIP 81301
Phone: (970) 247-1120
Get Directions

FOUR CORNERS HEART CLINIC is a cardiovascular disease internal medicine in Durango, CO. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. FOUR CORNERS HEART CLINIC NPI is 1942260377. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1800 E 3RD AVE
SUITE112
DURANGO, CO
ZIP 81301-016
Phone: (970) 247-1120
Fax: (970) 247-1128

The provider's authorized official is Ann Lau .
The authorized official title is Director Of Accounts Receivable and has the following contact phone number (303) 295-8737.

The enumeration date for this NPI number is 3/28/2006 and was last updated on 8/22/2020.


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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
104023420MEDICAIDCOLORADO

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

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