1760650832 NPI number — FRANKTOWN FAMILY MEDICINE, LLC

Table of content: (NPI 1760650832)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760650832 NPI number — FRANKTOWN FAMILY MEDICINE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRANKTOWN FAMILY MEDICINE, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
INTEGRATIVE MEDICINE CENTERS
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760650832
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/02/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 11
Provider Second Line Business Mailing Address:
7601 EAST BURNING TREE DRIVE
Provider Business Mailing Address City Name:
FRANKTOWN
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80116-0011
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-688-1111
Provider Business Mailing Address Fax Number:
720-459-7019

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7601 BURNING TREE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRANKTOWN
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80116-9540
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-688-1111
Provider Business Practice Location Address Fax Number:
720-459-7019
Provider Enumeration Date:
02/12/2008

Additional Information

Authorized Official

Authorized Official Last Name:
KREMER
Authorized Official First Name:
REINER
Authorized Official Middle Name:
G
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
303-688-1111

Provider Taxonomy Codes

  • Taxonomy code: 363AM0700X , with the licence number:  PA0003980 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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