FRONT RANGE CLINIC INC. NPI 1508452061

NPI Information

  • NPI: 1508452061
  • Provider Name: FRONT RANGE CLINIC INC.
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 1490 N LAFAYETTE ST STE 407
    DENVER, CO
    ZIP 80218
  • Phone: (970) 493-9193

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NPI Details

FRONT RANGE CLINIC INC. is an addiction medicine family medicine in Denver, CO. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. FRONT RANGE CLINIC INC. NPI is 1508452061. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1490 N LAFAYETTE ST STE 407
DENVER, CO
ZIP 80218-394
Phone: (970) 493-9193

The provider's authorized official is Clark Steven Mccoy .
The authorized official title is President and has the following contact phone number (970) 493-9193.

The enumeration date for this NPI number is 12/17/2020 and was last updated on 12/17/2020.

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
1207Q00000XFamily MedicineNo
2207QA0401XFamily MedicineAddiction MedicineYes

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: 3/30/2025

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