| Longmont United Hospital | |
|
1950 W Mountain View Ave Longmont CO 80501-3129 | |
| (303) 651-5111 | |
| (303) 678-4050 |
| Full Name | Longmont United Hospital |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1950 W Mountain View Ave, Longmont, Colorado |
| Authorized Official Name and Position | Tadd M Richert (GROUP CFO) |
| Authorized Official Contact | 7195717202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Longmont United Hospital 1950 W Mountain View Ave Longmont CO 80501-3129 Ph: (303) 651-5111 | Longmont United Hospital 1950 W Mountain View Ave Longmont CO 80501-3129 Ph: (303) 651-5111 |
| NPI Number | 1366465866 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 01/15/2024 |
| Medicare PECOS PAC ID | 2769377787 |
|---|---|
| Medicare Enrollment ID | O20040218000875 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366465866 | NPI | - | NPPES |
| 04003158 | Other | CO | MEDICAID PROFESSIONAL COMPENSATION |
| 05003009 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | 010350 (Colorado) | Primary |
| Provider Name | Marie Klish Weeks |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568434207 PECOS PAC ID: 1850318148 Enrollment ID: I20060905000181 |
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