INTERNAL MEDICINE CLINIC INC. (NPI# 1013934892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013934892 |
| Entity Type | Organization |
| Organization Name | INTERNAL MEDICINE CLINIC INC. |
| Other Organization Name | PHYSICIANS MANAGEMENT CORPORATION |
| Practice Address |
1100 Poudre River Drive Fort Collins CO 80524-3500 |
| Practice Telephone | 9702249508 |
| Practice Fax Number | 9702241210 |
| Mailing Telephone | 9702249508 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2007-11-26 |
| Authorized Official Name | DR. DAVID MICHAEL ABBEY (SECRETARY TREASURER) |
| Authorized Official Telephone | 9702249508 |
| Authorized Official Credential | MS MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | CO | Laboratories |
| Other Name | Type Code |
|---|---|
| Physicians Management Corporation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881725844 | Internal Medicine Clinic Inc. | Specialist | 1100 Poudre River Dr, Fort Collins, CO 80524-3557 | 2007-03-08 |
| Street Address |
1100 POUDRE RIVER DRIVE |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992722771 | Neil Kenton Stafford | Internal Medicine | 1100 Poudre River Drive, Fort Collins, CO 80524-8500 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
| 1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
| 1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
| Find all providers in zip 80524 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
| 1538688239 | Banner Fort Collins Medical Center | Clinical Medical Laboratory | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2017-09-13 |
| 1306381868 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 1136 E Stuart St, Bldg 3, 2nd Floor, Fort Collins, CO 80525-1195 | 2016-12-19 |
| 1023360682 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 2950 E Harmony Rd, Fort Collins, CO 80528-3419 | 2012-10-08 |
| 1124233390 | Metwest Inc | Clinical Medical Laboratory | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2007-05-11 |
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| 1639790835 | Bready Diagnostic Laboratory LLC | Clinical Medical Laboratory | 695 S Colorado Blvd Ste 250, Denver, CO 80246-8091 | 2020-04-29 |
| 1295354371 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 9950 W 80th Ave Ste 23, Arvada, CO 80005-3914 | 2020-04-09 |
| 1972138345 | University Physicians Incorporated | Clinical Medical Laboratory | 12705 E. Montview Blvd, Bioscience 2, Room 3106, Aurora, CO 80045-7108 | 2020-03-06 |
| 1164054896 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 13402 W Coal Mine Ave Ste 300, Littleton, CO 80127-5407 | 2020-02-11 |
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| City | FORT COLLINS |
| Zip Code | 80524 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.