| Hopelight Medical Clinic | |
|
1333 Collyer St Longmont CO 80501-3311 | |
| (303) 776-2625 | |
| Not Available |
| Full Name | Hopelight Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1333 Collyer St, Longmont, Colorado |
| Authorized Official Name and Position | Edward Bowen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3037762625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopelight Medical Clinic 1333 Collyer St Longmont CO 80501-3311 Ph: (303) 776-2625 | Hopelight Medical Clinic 1333 Collyer St Longmont CO 80501-3311 Ph: (303) 776-2625 |
| NPI Number | 1841696465 |
|---|---|
| Provider Enumeration Date | 11/10/2014 |
| Last Update Date | 08/03/2021 |
| Medicare PECOS PAC ID | 1153645643 |
|---|---|
| Medicare Enrollment ID | O20150109000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841696465 | NPI | - | NPPES |
| 93633068 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
| Provider Name | Roy W Thompson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558433557 PECOS PAC ID: 5395752836 Enrollment ID: I20090326000177 |
| Provider Name | David W Mccarty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174521058 PECOS PAC ID: 2668505876 Enrollment ID: I20100809000224 |
| Provider Name | Karen E Delvecchio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164421665 PECOS PAC ID: 7113042144 Enrollment ID: I20100915000163 |
| Provider Name | Stephen Haskew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558448118 PECOS PAC ID: 6406172410 Enrollment ID: I20150311000559 |
| Provider Name | Bethany Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659022408 PECOS PAC ID: 2062951098 Enrollment ID: I20240822001109 |
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