INTERMOUNTAIN MEDICAL GROUP DENVER LLC NPI 1811378037

NPI Information

  • NPI: 1811378037
  • Provider Name: INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 500 ELDORADO BLVD
    BLDG 6, STE 6250
    BROOMFIELD, CO
    ZIP 80021
  • Phone: (303) 272-0811

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NPI Details

INTERMOUNTAIN MEDICAL GROUP DENVER, LLC is a clinic center in Broomfield, CO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). INTERMOUNTAIN MEDICAL GROUP DENVER, LLC NPI is 1811378037. The provider is registered as an organization entity type.

The provider's business location address is:

500 ELDORADO BLVD
BLDG 6, STE 6250
BROOMFIELD, CO
ZIP 80021-408
Phone: (303) 272-0811
Fax: (303) 272-0740

The provider's authorized official is Lynnette Green .
The authorized official title is Insurance Rep and has the following contact phone number (303) 272-0811.

The enumeration date for this NPI number is 6/12/2015 and was last updated on 7/12/2024.

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
1261Q00000XClinic/CenterCOLORADOYes

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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