FORTMEYER FAMILY WELLNESS CLINIC LLC (NPI# 1619365806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619365806 |
Entity Type | Organization |
Organization Name | FORTMEYER FAMILY WELLNESS CLINIC LLC |
Practice Address |
328 14th St Burlington CO 80807-1608 |
Mailing Address |
328 14th Street Burlington CO 80807 |
Practice Telephone | 7193467052 |
Practice Fax Number | 7193467053 |
Mailing Telephone | 7193467052 |
Mailing Fax Number | 7193467053 |
Enumeration Date | 2014-12-23 |
Last Update Date | 2015-02-16 |
Authorized Official Name | DR. JASON J FORTMEYER (CHIROPRACTOR) |
Authorized Official Telephone | 7193467052 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305S00000X | Point of Service | 1730519844 | CO | Managed Care Organizations |
Street Address |
328 14TH ST |
City | BURLINGTON |
State | CO |
Zip Code | 80807-1608 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790815470 | Barnes Family Chiropractic PC | Chiropractor | 328 14th St, Burlington, CO 80807-1608 | 2007-03-06 |
1730519844 | Jason John Fortmeyer | Chiropractor | 328 14th St, Burlington, CO 80807-1608 | 2013-11-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740520642 | Kathryn Helen Dobler | Registered Nurse | 252 South 14th St., Burlington, CO 80807 | 2013-03-01 |
1669666269 | Dawn M James | Clinical Nurse Specialist | 54188 County Rd Hh, Burlington, CO 80807 | 2007-08-28 |
1972608321 | Kit Carson County Health Services District | Hospice Care, Community Based | 286 16th Street, Burlington, CO 80807 | 2006-09-13 |
1043259088 | Aerocare Holdings, Inc | Durable Medical Equipment & Medical Supplies | 349 14th St, Burlington, CO 80807 | 2006-06-05 |
1851363865 | Kit Carson County Health and Human Services | Public Health or Welfare | 252 S. 14th Street, Burlington, CO 80807 | 2006-02-03 |
1760910178 | Michelle Dawn Wright | Registered Nurse | 182 16th St, Burlington, CO 80807 | 2017-05-30 |
1790123669 | Madison Senior Living Management LLC | Respite Care | 465 5th Street, Burlington, CO 80807 | 2013-06-12 |
1467753541 | Jason A Sizer | Pharmacist | 314 14th St, Burlington, CO 80807 | 2010-11-05 |
1366527400 | Preventive Family Dental PC | Dental Hygienist | 1440 Lowell Ave, Burlington, CO 80807-0094 | 2006-10-26 |
1982844874 | Centennial Mental Health Center | Community/Behavioral Health | 1291 Circle Dr, Burlington, CO 80807-1245 | 2009-03-05 |
Find all providers in zip 80807 |
Taxonomy Code | 305S00000X |
Grouping | Managed Care Organizations |
Classification | Point of Service |
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639553761 | Dalton Lee Hayes | Point of Service | 1616 S 15th St, Burlington, IA 52601-3744 | 2015-07-18 |
1508023417 | Spineworks Decompression & Chiropractic, LLC | Point of Service | 925 Milwaukee Ave, Suite A, Burlington, WI 53105-1351 | 2008-05-19 |
1063908341 | Spectrum Wellness, Plc | Point of Service | 84 West Rd Apt B, Burlington, VT 05408-2401 | 2018-07-10 |
1891085619 | Mary Schilling Mcmanis, Dds Inc | Point of Service | 1727 Deer Run Dr, Burlington, IA 52601-2169 | 2011-04-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841829520 | 4 Winds / 5 Elements Counseling and Healing Arts Pllc | Point of Service | 2201 Kipling St Ste 204, Lakewood, CO 80215-1545 | 2020-04-05 |
1952953515 | Mary Brown | Point of Service | 2673 Del Mar Dr, Grand Junction, CO 81506-1721 | 2019-07-14 |
1285168583 | State of Colorado | Point of Service | 1575 Sherman Street, Cdhs, Denver, CO 80203 | 2017-04-13 |
1902339963 | Hti2, LLC Dba Pearle Vision Loveland | Point of Service | 1391 Sculptor Dr., Loveland, CO 80537 | 2017-04-06 |
1386196665 | Colorado Department of Corrections | Point of Service | 49030 State Hwy 71, Limon, CO 80826-0001 | 2016-11-02 |
1861941130 | Erx Consulting | Point of Service | 6133 E Mineral Dr, Centennial, CO 80112-3009 | 2016-09-28 |
1104287176 | Allfocus Holding LLC | Point of Service | 11015 Hill Gail Ct, Parker, CO 80138-7246 | 2016-03-17 |
1013377274 | Colorado Assisted Living Homes | Point of Service | 5596 W Indore Dr, Littleton, CO 80128-7030 | 2016-03-02 |
1104286376 | Colorado Assisted Living Homes | Point of Service | 7456 S Kendall Blvd, Littleton, CO 80128-4682 | 2016-03-02 |
1487014916 | Senior Living At The Pinery LLC | Point of Service | 6875 N Windview Cir, Parker, CO 80134-6337 | 2016-02-25 |
Find all providers with the same taxonomy |
City | BURLINGTON |
Zip Code | 80807 |
Please comment or provide details below to improve the information on FORTMEYER FAMILY WELLNESS CLINIC LLC.
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.