ROCKY MOUNTAIN FAMILY PHYSICIANS (NPI# 1215054259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215054259 |
| Entity Type | Organization |
| Organization Name | ROCKY MOUNTAIN FAMILY PHYSICIANS |
| Practice Address |
1124 E Elizabeth St Bldg C Fort Collins CO 80524-4052 |
| Practice Telephone | 9704840798 |
| Practice Fax Number | 9704820679 |
| Mailing Telephone | 9704840798 |
| Mailing Fax Number | 9704820679 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2010-02-11 |
| Authorized Official Name | MR. RICHARD L MCMULLEN (ADMINISTRATOR) |
| Authorized Official Telephone | 9704840798 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04007324 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | ROCKY MOUNTAIN FAMILY PHYSICIANS, P.C. | 1124 East Elizabeth Street, Bldg C, Fort Collins, CO 80524 |
| Street Address |
1124 E ELIZABETH ST BLDG C |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-4052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578677019 | Scott John Samuelson | Family Medicine | 1124 E Elizabeth St, Bldg C, Fort Collins, CO 80524-4052 | 2006-08-19 |
| 1477955870 | Suzette Denise Vandivier | Physician Assistant | 1124 E Elizabeth St, Fort Collins, CO 80524-4052 | 2014-09-17 |
| 1710005475 | Kathleen R Maguire | Physician Assistant | 1124 E Elizabeth St, Bldg C, Fort Collins, CO 80524-4052 | 2007-03-27 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285703652 | Lifespan Family Medical Services | Clinic/Center | 320 W Olive St, Fort Collins, CO 80521-2716 | 2006-11-07 |
| 1720067036 | Kelby F. Bethards Md Prof. LLC | Clinic/Center | 1017 Robertson St, Fort Collins, CO 80524-3926 | 2006-01-13 |
| 1912372137 | New Belgium Brewing Company, Inc. | Clinic/Center | 702a W Drake Rd, Fort Collins, CO 80526-5521 | 2015-12-14 |
| 1043513724 | Lifestyle Medicine At Miramont, LLC | Clinic/Center | 2211 S College Ave, Unit 300, Fort Collins, CO 80525-1489 | 2010-12-17 |
| 1932410693 | Incarnate LLC | Clinic/Center | 1901 Ames Ct, Fort Collins, CO 80526-6109 | 2010-06-28 |
| 1164401451 | Medical Acupuncture of Northern Colorado, Professional LLC | Clinic/Center | 1217 Riverside Ave, Fort Collins, CO 80524-3218 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160396 | Little Poudre Family Clinic LLC | Clinic/Center | 3817 W County Rd 54g, Laporte, CO 80535 | 2020-10-05 |
| 1548874761 | Scl Health Medical Group - Denver, LLC | Clinic/Center | 23770 E Smoky Hill Rd Ste 240, Aurora, CO 80016-3089 | 2020-09-04 |
| 1134731581 | Cync Health, Inc | Clinic/Center | 9284 Desert Willow Rd, Highlands Ranch, CO 80129-5715 | 2020-08-18 |
| 1992315279 | Gunnison Valley Family Physicians Crested Butte | Clinic/Center | 214 6th Street, Suite 1, Crested Butte, CO 81224 | 2020-08-03 |
| 1386261493 | Keystone Primary Care | Clinic/Center | 11111 E Mississippi Ave Ste 112, Aurora, CO 80012-3106 | 2020-07-06 |
| 1518582865 | Pediatrics West, P.C. | Clinic/Center | 13402 W Coal Mine Ave Ste 200, Littleton, CO 80127-5407 | 2020-06-12 |
| 1902420862 | Cloud Medical LLC | Clinic/Center | 3601 Arapahoe Ave # D-176, Boulder, CO 80303-1310 | 2020-06-05 |
| 1063034221 | Premier Primary Care Clinic LLC | Clinic/Center | 3000 Lawrence St, Denver, CO 80205-3422 | 2020-05-11 |
| 1992330500 | Quality Medical Clinic LLC | Clinic/Center | 3604 Galley Rd Ste 201, Colorado Springs, CO 80909-4301 | 2020-03-04 |
| 1992344659 | Metropolitan General Practice PC | Clinic/Center | 7400 E Crestline Cir Ste 105, Greenwood Village, CO 80111-3656 | 2019-12-29 |
| Find all providers with the same taxonomy | ||||
| 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.