| Big Thompson Medical Group Inc. | |
|
303 Colland Dr Fort Collins CO 80525-4205 | |
| (970) 461-8031 | |
| Not Available |
| Full Name | Big Thompson Medical Group Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 303 Colland Dr, Fort Collins, Colorado |
| Authorized Official Name and Position | Dennis Laraway (CFO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Thompson Medical Group Inc. 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Big Thompson Medical Group Inc. 303 Colland Dr Fort Collins CO 80525-4205 Ph: (970) 461-8031 |
| NPI Number | 1093005845 |
|---|---|
| Provider Enumeration Date | 04/13/2011 |
| Last Update Date | 01/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093005845 | NPI | - | NPPES |
| 40757820 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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