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Contact Information

LONGMONT PSYCHIATRIC ASSOCIATES, P.C.
1380 TULOP ST.
SUITE P
LONGMONT, CO80501
 Phone: 303-772-3644
 Fax: 303-772-0889
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for LONGMONT PSYCHIATRIC ASSOCIATES, P.C.

NPI Number 1487810529
LBN Legal business name LONGMONT PSYCHIATRIC ASSOCIATES, P.C.
Authorized official SEVERANCE KELLEY - (PRESIDENT OF THE CORPORATION)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2008
Last updated 07/29/2008 - About 18 years ago
Identifiers
CO Medicaid 04171047
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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