Longmont United Hospital | |
1950 W Mountain View Ave Longmont CO 80501-3129 | |
(303) 651-5111 | |
(303) 678-4050 |
Full Name | Longmont United Hospital |
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Speciality | General Acute Care Hospital |
Location | 1950 W Mountain View Ave, Longmont, Colorado |
Authorized Official Name and Position | Tadd M Richert (GROUP CFO) |
Authorized Official Contact | 7195717202 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Longmont United Hospital 1950 W Mountain View Ave Longmont CO 80501-3129 Ph: (303) 651-5111 | Longmont United Hospital 1950 W Mountain View Ave Longmont CO 80501-3129 Ph: (303) 651-5111 |
NPI Number | 1366465866 |
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Provider Enumeration Date | 07/25/2006 |
Last Update Date | 01/15/2024 |
Medicare PECOS PAC ID | 2769377787 |
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Medicare Enrollment ID | O20040218000875 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366465866 | NPI | - | NPPES |
04003158 | Other | CO | MEDICAID PROFESSIONAL COMPENSATION |
05003009 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Secondary |
282N00000X | General Acute Care Hospital | 010350 (Colorado) | Primary |
Provider Name | Marie Klish Weeks |
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Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1568434207 PECOS PAC ID: 1850318148 Enrollment ID: I20060905000181 |
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