| Origin Healthcare, LLC | |
|
1001a E Harmony Rd # 308 Fort Collins CO 80525-3354 | |
| (888) 777-2718 | |
| Not Available |
| Full Name | Origin Healthcare, LLC |
|---|---|
| Speciality | Hospitalist |
| Location | 1001a E Harmony Rd # 308, Fort Collins, Colorado |
| Authorized Official Name and Position | Christine M. Lum Lung (OWNER) |
| Authorized Official Contact | 8887772718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Origin Healthcare, LLC 1001a E Harmony Rd # 308 Fort Collins CO 80525-3354 | Origin Healthcare, LLC 1001a E Harmony Rd # 308 Fort Collins CO 80525-3354 Ph: (888) 777-2718 |
| NPI Number | 1982206173 |
|---|---|
| Provider Enumeration Date | 11/12/2020 |
| Last Update Date | 06/29/2021 |
| Certification Date | 06/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982206173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Secondary |
| 208M00000X | Hospitalist | (NU) | Primary |
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