NEW BELGIUM BREWING COMPANY, INC. (NPI# 1912372137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912372137 |
| Entity Type | Organization |
| Organization Name | NEW BELGIUM BREWING COMPANY, INC. |
| Practice Address |
702a W Drake Rd Fort Collins CO 80526-5521 |
| Mailing Address |
500 Linden St Fort Collins CO 80524-2457 |
| Practice Telephone | 9702294653 |
| Mailing Telephone | 9702210524 |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2015-12-14 |
| Authorized Official Name | MS. EVELYN JUNE TYRRELL (BENEFITS ADMINISTRATOR) |
| Authorized Official Telephone | 9704947801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
35548 | CO | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | New Belgium Brewing Company, Inc. | 500 Linden St, Fort Collins, CO 80524 |
| Iowa Business Entities | NEW BELGIUM BREWING COMPANY, INC. | 500 Linden St, Fort Collins, CO 80524 |
| Oregon Corporations, Companies and Business Names | NEW BELGIUM BREWING COMPANY, INC. | 500 Linden St, Fort Collins, CO 80524 |
| Street Address |
702A W DRAKE RD |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-5521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407804503 | Phillip W Rhoads | Internal Medicine | 702a W Drake Rd, Fort Collins, CO 80526-5521 | 2006-05-04 |
| 1730526096 | Banner Health Physicians Colorado LLC | Clinic/Center | 702a W Drake Rd, Fort Collins, CO 80526-5521 | 2013-05-28 |
| 1710298484 | Kirsten Storey | Internal Medicine | 702a W Drake Rd, Fort Collins, CO 80526-5521 | 2010-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
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| 1720067036 | Kelby F. Bethards Md Prof. LLC | Clinic/Center | 1017 Robertson St, Fort Collins, CO 80524-3926 | 2006-01-13 |
| 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 |
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| 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 | 80526 |
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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.