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Contact Information

BRECKENRIDGE MEDICAL CLINIC, LLC
555 SOUTH PARK AVENUE
PLAZA 2
BRECKENRIDGE, CO80424
 Phone: 970-453-1010
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BRECKENRIDGE MEDICAL CLINIC, LLC

NPI # 1376682740
LBN Legal business name BRECKENRIDGE MEDICAL CLINIC, LLC
Authorized official PAUL CHODOWSKI - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/05/2007
Last updated 10/20/2009 - About 17 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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