| Fox Integrated Healthcare, Llc | |
|
3305 W 144th Ave Unit 103 Broomfield CO 80023-9483 | |
| (303) 469-7066 | |
| (303) 469-7077 |
| Full Name | Fox Integrated Healthcare, Llc |
|---|---|
| Speciality | General Practice |
| Location | 3305 W 144th Ave Unit 103, Broomfield, Colorado |
| Authorized Official Name and Position | Derek B Fox (OWNER) |
| Authorized Official Contact | 3034697066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox Integrated Healthcare, Llc 3305 W 144th Ave Unit 103 Broomfield CO 80023-9483 Ph: (303) 469-7066 | Fox Integrated Healthcare, Llc 3305 W 144th Ave Unit 103 Broomfield CO 80023-9483 Ph: (303) 469-7066 |
| NPI Number | 1932597598 |
|---|---|
| Provider Enumeration Date | 01/06/2015 |
| Last Update Date | 06/03/2020 |
| Medicare PECOS PAC ID | 2769757095 |
|---|---|
| Medicare Enrollment ID | O20171012000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932597598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 51221 (Colorado) | Primary |
| Provider Name | Jennifer S Fightmaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376843623 PECOS PAC ID: 1153554316 Enrollment ID: I20140424000783 |
| Provider Name | Ashli K Clearwater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164810768 PECOS PAC ID: 3779854393 Enrollment ID: I20170801000321 |
| Provider Name | Derek B Fox |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1972528065 PECOS PAC ID: 3779859376 Enrollment ID: I20171026001980 |
| Provider Name | Kimberly Eppers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376967331 PECOS PAC ID: 8921492984 Enrollment ID: I20220308002359 |
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