| Big Thompson Medical Group Inc. | |
|
608 E Harmony Rd Suite 101 Fort Collins CO 80525-3210 | |
| (970) 204-9069 | |
| Not Available |
| Full Name | Big Thompson Medical Group Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 608 E Harmony Rd, Fort Collins, Colorado |
| Authorized Official Name and Position | Judy L Tunheim (SR VP FINANCE) |
| 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. 1441 N 12th St Phoenix AZ 85006-2837 Ph: () - | Big Thompson Medical Group Inc. 608 E Harmony Rd Suite 101 Fort Collins CO 80525-3210 Ph: (970) 204-9069 |
| NPI Number | 1538459383 |
|---|---|
| Provider Enumeration Date | 04/13/2011 |
| Last Update Date | 04/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538459383 | NPI | - | NPPES |
| 41736028 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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