INTERMOUNTAIN MEDICAL GROUP DENVER LLC NPI 1568070944

NPI Information

  • NPI: 1568070944
  • Provider Name: INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: FIRESTONE CLINIC
  • CLIA Number: 06D1078365
  • Address: 8350 COLORADO BLVD UNIT 160
    FIRESTONE, CO
    ZIP 80504
  • Phone: (303) 689-5160

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NPI Details

INTERMOUNTAIN MEDICAL GROUP DENVER, LLC is a family medicine in Firestone, CO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. INTERMOUNTAIN MEDICAL GROUP DENVER, LLC NPI is 1568070944. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Firestone Clinic.

The provider's business location address is:

8350 COLORADO BLVD UNIT 160
FIRESTONE, CO
ZIP 80504-803
Phone: (303) 689-5160
Fax: (303) 689-5175

The provider's authorized official is Jon Mcdaniel .
The authorized official title is Vp Of Finance and has the following contact phone number (303) 272-0231.

The CLIA number assigned to this NPI record is 06D1078365 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2020 and was last updated on 6/28/2024.

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
1207Q00000XFamily MedicineYes
22083X0100XPreventive MedicineOccupational MedicineNo
32084N0400XPsychiatry & NeurologyNeurologyNo

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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