EAST CROSSROADS CLINIC - PRIMARY CARE – NPI #1962270371
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

EAST CROSSROADS CLINIC - PRIMARY CARE is a provider located in AURORA, CO. NPPES has assigned the NPI number 1962270371 to EAST CROSSROADS CLINIC - PRIMARY CARE on December 14, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EAST CROSSROADS CLINIC - PRIMARY CARE” is a dba name, the actual legal business name for this organization is INTERMOUNTAIN MEDICAL GROUP DENVER, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Jun 28, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAST CROSSROADS CLINIC - PRIMARY CARE below.

NPI Profile for
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC

NPI Number
1962270371
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Doing Business As (dba): EAST CROSSROADS CLINIC - PRIMARY CARE
Primary location
23750 E 14TH AVE
SUITE 250
AURORA, CO 80018-1973
Phone: (303) 812-5200 Fax: (303) 272-0262
Mailing address
500 ELDORADO BLVD STE 4300
BROOMFIELD, CO 80021-3564
Phone: (303) 272-0566 Fax: (303) 272-0390
Organization Subpart
Yes - EAST CROSSROADS CLINIC - PRIMARY CARE is subpart of another organization.
Authorized Official
JON MCDANIEL
VP FINANCE MEDICAL GROUP
Phone: (303) 272-0231
Updated
Certification Date
Jun 28, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
207VX0000X
- Obstetrics & Gynecology / Obstetrics
207VG0400X
- Obstetrics & Gynecology / Gynecology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.