1275177206 NPI number — MOSAIC HEALTH AND WELLNESS LLC

Table of content: (NPI 1275177206)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275177206 NPI number — MOSAIC HEALTH AND WELLNESS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MOSAIC HEALTH AND WELLNESS 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:
Provider Other Organization Name Type Code:
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:
1275177206
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/30/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1151 EAGLE DR # 344
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOVELAND
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80537-8020
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-599-2057
Provider Business Mailing Address Fax Number:
949-404-8845

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1136 E STUART ST BLDG 4 STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT COLLINS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80525-1195
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-599-2057
Provider Business Practice Location Address Fax Number:
949-404-8845
Provider Enumeration Date:
11/02/2019

Additional Information

Authorized Official

Authorized Official Last Name:
VANTRESS
Authorized Official First Name:
CURT
Authorized Official Middle Name:
EUGENE
Authorized Official Title or Position:
PMHNP
Authorized Official Telephone Number:
970-599-2057

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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