| Altitude Family & Internal Medicine, Llc | |
|
13402 W Coal Mine Ave Suite 230 Littleton CO 80127-5407 | |
| (303) 730-2167 | |
| (303) 996-4820 |
| Full Name | Altitude Family & Internal Medicine, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13402 W Coal Mine Ave, Littleton, Colorado |
| Authorized Official Name and Position | Douglas Hansen (CEO, PRESIDENT) |
| Authorized Official Contact | 3037302167 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Altitude Family & Internal Medicine, Llc 13402 W Coal Mine Ave Suite 230 Littleton CO 80127-5407 Ph: (303) 730-2167 | Altitude Family & Internal Medicine, Llc 13402 W Coal Mine Ave Suite 230 Littleton CO 80127-5407 Ph: (303) 730-2167 |
| NPI Number | 1720269020 |
|---|---|
| Provider Enumeration Date | 11/15/2007 |
| Last Update Date | 08/13/2009 |
| Medicare PECOS PAC ID | 7911090865 |
|---|---|
| Medicare Enrollment ID | O20090618000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720269020 | NPI | - | NPPES |
| COB4616 | Other | CO | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Douglas Bc Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184773400 PECOS PAC ID: 1951394097 Enrollment ID: I20040406000066 |
| Provider Name | Rebecca J Nickell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477516045 PECOS PAC ID: 7214962380 Enrollment ID: I20050928000642 |
| Provider Name | Ashleigh Marie Sartor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649412461 PECOS PAC ID: 6103074174 Enrollment ID: I20120917000393 |
| Provider Name | Lindsey A Andreoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821498023 PECOS PAC ID: 3870715584 Enrollment ID: I20180205002611 |
| Provider Name | Katelyn Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629728878 PECOS PAC ID: 1850745878 Enrollment ID: I20230925003749 |
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