Origin Healthcare Pc | |
1001a E Harmony Rd Ste 308 Fort Collins CO 80525-3354 | |
(888) 777-2718 | |
Not Available |
Full Name | Origin Healthcare Pc |
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Speciality | Internal Medicine |
Location | 1001a E Harmony Rd Ste 308, Fort Collins, Colorado |
Authorized Official Name and Position | Christine M. Lum Lung (OWNER) |
Authorized Official Contact | 8887772718 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Origin Healthcare Pc 1001a E Harmony Rd Ste 308 Fort Collins CO 80525-3354 Ph: (888) 777-2718 | Origin Healthcare Pc 1001a E Harmony Rd Ste 308 Fort Collins CO 80525-3354 Ph: (888) 777-2718 |
NPI Number | 1770256737 |
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Provider Enumeration Date | 07/27/2021 |
Last Update Date | 07/27/2021 |
Medicare PECOS PAC ID | 3072917293 |
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Medicare Enrollment ID | O20210811000131 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770256737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Christine M Lum Lung |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821068727 PECOS PAC ID: 3678556875 Enrollment ID: I20040609000913 |
Provider Name | Charmaine Reghitto |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1255303541 PECOS PAC ID: 7911934708 Enrollment ID: I20050723000022 |
Provider Name | Amy Espinosa |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962543769 PECOS PAC ID: 4385737782 Enrollment ID: I20070830000359 |
Provider Name | Heidi L Muller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134496888 PECOS PAC ID: 5890939938 Enrollment ID: I20130911000750 |
Provider Name | Aubrey Pitts |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124500947 PECOS PAC ID: 5496093585 Enrollment ID: I20190215000152 |
Provider Name | Sheri D'lynn Christian-armstrong |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679996706 PECOS PAC ID: 6103104138 Enrollment ID: I20211014003180 |
Provider Name | Amber Kukus |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144946575 PECOS PAC ID: 5698143956 Enrollment ID: I20221118000023 |
Provider Name | Jennifer Jean Poulson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821714916 PECOS PAC ID: 0749659639 Enrollment ID: I20221215002932 |
Provider Name | Jamie Latimer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609551969 PECOS PAC ID: 8527429133 Enrollment ID: I20230731000096 |
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