| Big Thompson Medical Group Inc. | |
|
1647 E 18th St Loveland CO 80538-4209 | |
| (970) 378-4155 | |
| Not Available |
| Full Name | Big Thompson Medical Group Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 1647 E 18th St, Loveland, Colorado |
| Authorized Official Name and Position | Dennis E Dahlen (SR VP FINANCE) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Thompson Medical Group Inc. 1441 N 12th St Phoenix AZ 85006-2837 Ph: () - | Big Thompson Medical Group Inc. 1647 E 18th St Loveland CO 80538-4209 Ph: (970) 378-4155 |
| NPI Number | 1013208966 |
|---|---|
| Provider Enumeration Date | 04/27/2011 |
| Last Update Date | 05/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013208966 | NPI | - | NPPES |
| 97728756 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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