| New Belgium Brewing Company, Inc. | |
|
702a W Drake Rd Fort Collins CO 80526-5521 | |
| (970) 229-4653 | |
| Not Available |
| Full Name | New Belgium Brewing Company, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 702a W Drake Rd, Fort Collins, Colorado |
| Authorized Official Name and Position | Evelyn June Tyrrell (BENEFITS ADMINISTRATOR) |
| Authorized Official Contact | 9704947801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Belgium Brewing Company, Inc. 500 Linden St Fort Collins CO 80524-2457 Ph: (970) 221-0524 | New Belgium Brewing Company, Inc. 702a W Drake Rd Fort Collins CO 80526-5521 Ph: (970) 229-4653 |
| NPI Number | 1912372137 |
|---|---|
| Provider Enumeration Date | 12/14/2015 |
| Last Update Date | 12/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912372137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 35548 (Colorado) | Primary |
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