| Active Integrated Medicine Llc | |
|
220 E Beaver Ave Fort Morgan CO 80701-3103 | |
| (970) 441-1117 | |
| Not Available |
| Full Name | Active Integrated Medicine Llc |
|---|---|
| Speciality | Integrative Medicine |
| Location | 220 E Beaver Ave, Fort Morgan, Colorado |
| Authorized Official Name and Position | Leif Allen Stephens (OWNER) |
| Authorized Official Contact | 9704585216 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Integrated Medicine Llc 220 E Beaver Ave Fort Morgan CO 80701-3103 Ph: (970) 441-1117 | Active Integrated Medicine Llc 220 E Beaver Ave Fort Morgan CO 80701-3103 Ph: (970) 441-1117 |
| NPI Number | 1174016331 |
|---|---|
| Provider Enumeration Date | 06/12/2018 |
| Last Update Date | 07/22/2025 |
| Medicare PECOS PAC ID | 4688914526 |
|---|---|
| Medicare Enrollment ID | O20190313000291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174016331 | NPI | - | NPPES |
| 1679771414 | Medicaid | CO | |
| 1679771414 | Other | CO | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 202D00000X | Integrative Medicine | (* (Not Available)) | Primary |
| Provider Name | Leif A Stephens |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770733297 PECOS PAC ID: 5395802870 Enrollment ID: I20090327000278 |
East Morgan County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 E Railroad Ave, Fort Morgan, CO 80701 Phone: 970-542-4700 Fax: 970-542-4710 | |
Salud Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 Education Ave, Fort Morgan, CO 80701 Phone: 303-697-2583 Fax: 303-655-2885 | |
Fort Morgan Eye Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 Main St, Fort Morgan, CO 80701 Phone: 970-867-3046 | |
Fort Morgan Pediatric Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Lincoln St, Suite 202, Fort Morgan, CO 80701 Phone: 970-542-2229 | |
Family Practice Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 E Beaver Ave, Fort Morgan, CO 80701 Phone: 970-867-8221 Fax: 970-867-7124 | |
East Morgan County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 909 E Railroad Ave Ste 101, Fort Morgan, CO 80701 Phone: 970-542-4700 Fax: 970-542-4710 |