FRONT RANGE CLINIC INC. (NPI# 1356860803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356860803 |
| Entity Type | Organization |
| Organization Name | FRONT RANGE CLINIC INC. |
| Practice Address |
1410 Vance St Ste 201 Lakewood CO 80214-5435 |
| Mailing Address |
1040 E Elizabeth St Ste C Fort Collins CO 80524-3952 |
| Practice Telephone | 7205975576 |
| Practice Fax Number | 9706394475 |
| Mailing Telephone | 9704939193 |
| Mailing Fax Number | 9706394475 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-15 |
| Authorized Official Name | DR. CLARK MCCOY (PRESIDENT) |
| Authorized Official Telephone | 3522147180 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207QB0002X |
Family Medicine Specialization: Obesity Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 1598135451 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275052722 | Front Range Clinic Inc. | Family Medicine | 1411 S Potomac St Ste 340, Aurora, CO 80012-4539 | 2017-09-15 |
| 1740706035 | Front Range Clinic Inc. | Family Medicine | 9025 Grant St Ste 101, Thornton, CO 80229-4362 | 2017-08-17 |
| 1598281875 | Front Range Clinic Inc. | Family Medicine | 3400 W 16th St Unit 1-dd, Greeley, CO 80634-6862 | 2017-08-17 |
| 1467963447 | Front Range Clinic Inc. | Counselor | 1040 E Elizabeth St Ste C, Fort Collins, CO 80524-3952 | 2017-10-18 |
| 1104342443 | Front Range Clinic Inc. | Family Medicine | 1308 Vivian St, Longmont, CO 80501-3217 | 2017-08-18 |
| 1598135451 | Front Range Clinic Inc. | Family Medicine | 1040 E Elizabeth St, Suite C, Fort Collins, CO 80524-3951 | 2015-10-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Front Range Clinic Inc | 1040 E Elizabeth St Suite B, Fort Collins, CO 80524 |
| Street Address |
1410 VANCE ST STE 201 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80214-5435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266128 | Audra Perez | Social Worker | 1750 Pierce Street Suite C, Lakewood, CO 80214 | 2019-07-08 |
| 1508347758 | Robin Noel Mackin | Speech-Language Pathologist | 2401 Lamar Street, Edgewater, CO 80214 | 2018-08-26 |
| 1932636065 | Tamika Thomas | Counselor | 950 Wadsworth Blvd Ste 203, Lakewood, CO 80214 | 2017-05-19 |
| 1902353568 | Holly Carpenter | Counselor | 1410 Vance St, Lakewood, CO 80214 | 2016-09-01 |
| 1285094672 | Danijela Jankovic | Dentist | 7611 W.colfax Avenue, Suite D, Lakewood, CO 80214 | 2016-02-29 |
| 1053784207 | Dale Kim | Dentist | 1921 Sheridan Blvd Unit F, Edgewater, CO 80214 | 2015-11-10 |
| 1164890604 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste A, Lakewood, CO 80214 | 2015-09-14 |
| 1558747923 | Hv Lakewood | Optometrist | 6695 W. Colfax Ave., Lakewood, CO 80214 | 2015-08-07 |
| 1265879498 | Diana M Arvizo | Occupational Therapy Assistant | 1685 Eaton St., Lakewood, CO 80214 | 2013-05-29 |
| 1528332731 | Jennifer Anderson | Physical Therapist | 5354 W 25th Ave, Edgewater, CO 80214 | 2012-03-06 |
| Find all providers in zip 80214 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407476021 | Denver Recovery Group LLC | Family Medicine | 8790 W Colfax Ave Ste 90, Lakewood, CO 80215-4025 | 2020-04-23 |
| 1992839906 | Joy P. Ruiz-molleston, M.d., Ps | Family Medicine | 7424 Bridgeport Way W Ste 301, Lakewood, WA 98499-8135 | 2007-03-14 |
| 1851326722 | Joy P Ruiz-molleston | Family Medicine | 7424 Bridgeport Way W, Suite 301, Lakewood, WA 98499-8120 | 2006-07-11 |
| 1811920010 | Cirilo P Adao | Family Medicine | 7424 Bridgeport Way W, Suite 301, Lakewood, WA 98499-8120 | 2006-07-09 |
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|---|---|---|---|---|
| 1326651480 | Scl Health Medical Group - Denver, LLC | Family Medicine | 2600 Campus Dr Ste A, Lafayette, CO 80026-3358 | 2020-08-28 |
| 1235753948 | Haven Clinic | Family Medicine | 1150 N 25th St Ste D, Grand Junction, CO 81501-6561 | 2020-05-29 |
| 1528606795 | Denver Recovery Group LLC | Family Medicine | 2531 Airport Rd, Colorado Springs, CO 80910-3119 | 2019-12-18 |
| 1598312241 | Denver Recovery Group LLC | Family Medicine | 72 E Arapahoe Rd, Littleton, CO 80122-8001 | 2019-08-19 |
| 1912554668 | Denver Recovery Group LLC | Family Medicine | 5330 Manhattan Cir Ste H, Boulder, CO 80303-4240 | 2019-08-19 |
| 1639739097 | Bryan Clifford Handwork | Family Medicine | 3004 Arapahoe Ave, Boulder, CO 80303-1017 | 2019-06-18 |
| 1376949867 | Colorado Professional Recovery Inc. | Family Medicine | 4990 Kipling St, Suite B-5, Wheat Ridge, CO 80033-6762 | 2014-11-10 |
| 1548564545 | Michael Arthur Schwartz | Family Medicine | 2205 Cordillera Way, Edwards, CO 81632-6290 | 2011-01-05 |
| 1528374873 | Yvonne M Nelson Md Pllc | Family Medicine | 4487 W 107th Pl, Westminster, CO 80031-7603 | 2010-08-24 |
| 1437762481 | Julia Catherine Wells | Family Medicine | 1600 Fish Hatchery Rd, Estes Park, CO 80517-9227 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
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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.