FRONT RANGE CLINIC INC. (NPI# 1598281875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598281875 |
| Entity Type | Organization |
| Organization Name | FRONT RANGE CLINIC INC. |
| Practice Address |
3400 W 16th St Unit 1-dd Greeley CO 80634-6862 |
| Mailing Address |
1040 E Elizabeth St Ste C Fort Collins CO 80524-3952 |
| Practice Telephone | 9707022705 |
| Practice Fax Number | 9706394475 |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |
| 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 | 0054001 | CO | Allopathic & Osteopathic Physicians |
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
0051001 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 1598135451 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356860803 | Front Range Clinic Inc. | Family Medicine | 1410 Vance St Ste 201, Lakewood, CO 80214-5435 | 2017-09-15 |
| 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 |
| 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 |
3400 W 16TH ST UNIT 1-DD |
| City | GREELEY |
| State | CO |
| Zip Code | 80634-6862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707843 | Witting Medical, LLC | Pathology | 17 Dos Rios, Greeley, CO 80634 | 2020-07-15 |
| 1730706102 | Heart Centered Counseling | Counselor | 1770 W 25th Street #206, Greeley, CO 80634 | 2020-07-01 |
| 1396374237 | Kidstuff Child and Family Counseling, P.C. | Counselor | 1770 25th Ave., Ste. 102, Greeley, CO 80634 | 2020-04-03 |
| 1164055745 | Stephanie Alexis Balunda | Speech-Language Pathologist | Uchealth Physical Therapy and Rehabilitation Clinic, 6767 West 29th St., Greeley, CO 80634 | 2020-02-21 |
| 1407413727 | Stephen P Street Pllc | Counselor | 4657 W. 20th Street, Unit B, Greeley, CO 80634 | 2019-05-22 |
| 1043797749 | Burt Stewart Dmd Pllc | Clinic/Center | 6937 West 10th Street, Greeley, CO 80634 | 2018-07-25 |
| 1164913885 | Innovations Pediatric Therapy, LLC | Occupational Therapist | 3403 W 7th St Apt A, Greeley, CO 80634 | 2018-05-29 |
| 1003305319 | Austin Michael Lake | Physical Therapist | 4681 W 20th St Unit 202b, Greeley, CO 80634 | 2018-05-02 |
| 1225542004 | Kevin Lichner | Specialist/Technologist | 522 28th Ave, Greeley, CO 80634 | 2017-11-30 |
| 1538683909 | Stacie Jackson | Physician Assistant | 6500 West 29th St Ste 106, Greeley, CO 80634 | 2017-07-27 |
| Find all providers in zip 80634 | ||||
| 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. |
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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.