FRONT RANGE CLINIC INC. – NPI #1972190163
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

FRONT RANGE CLINIC INC. is a provider located in FORT COLLINS, CO. NPPES has assigned the NPI number 1972190163 to FRONT RANGE CLINIC INC. on December 22, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

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 FRONT RANGE CLINIC INC. below.

NPI Profile for
FRONT RANGE CLINIC INC.

NPI Number
1972190163
Enumeration Date

(more than 5 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
FRONT RANGE CLINIC INC.
Primary location
1120 E ELIZABETH ST STE G2
FORT COLLINS, CO 80524-4044
Phone: (970) 493-9193 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CLARK MCCOY
PRESIDENT
Phone: (970) 493-9193
Updated
Certification Date
Dec 17, 2020

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
207QA0401X
- Family Medicine / Addiction Medicine (Primary)
207Q00000X
- Family Medicine

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.