INTERMOUNTAIN MEDICAL GROUP DENVER LLC NPI 1871107748

NPI Information

  • NPI: 1871107748
  • Provider Name: INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Other Name: LARKRIDGE CLINIC - ORTHOPEDICS
  • CLIA Number: 06D2213347
  • Address: 16570 WASHINGTON ST
    THORNTON, CO
    ZIP 80023
  • Phone: (303) 689-6600

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NPI Details

INTERMOUNTAIN MEDICAL GROUP DENVER, LLC is a family medicine in Thornton, 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 1871107748. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Larkridge Clinic - Orthopedics.

The provider's business location address is:

16570 WASHINGTON ST
THORNTON, CO
ZIP 80023-964
Phone: (303) 689-6600
Fax: (303) 689-6601

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

The CLIA number assigned to this NPI record is 06D2213347 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2020 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

What is NPI?

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This page was last updated on: 3/30/2025

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