Front Range Clinic Inc. | |
8223 W 20th St Ste 100a Greeley CO 80634-3036 | |
(970) 702-2705 | |
(970) 639-4475 |
Full Name | Front Range Clinic Inc. |
---|---|
Speciality | Family Medicine - Addiction Medicine |
Location | 8223 W 20th St Ste 100a, Greeley, Colorado |
Authorized Official Name and Position | Clark Mccoy (PRESIDENT) |
Authorized Official Contact | 3522147180 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Front Range Clinic Inc. 1040 E Elizabeth St Ste C Fort Collins CO 80524-3952 Ph: () - | Front Range Clinic Inc. 8223 W 20th St Ste 100a Greeley CO 80634-3036 Ph: (970) 702-2705 |
NPI Number | 1598281875 |
---|---|
Provider Enumeration Date | 08/17/2017 |
Last Update Date | 02/09/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598281875 | NPI | - | NPPES |
1598135451 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0054001 (Colorado) | Secondary |
207QA0401X | Family Medicine - Addiction Medicine | 0051001 (Colorado) | Primary |
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