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Contact Information

MOUNTAIN RHEUMATOLOGY LLC
4500 E 9TH AVE
NO 500 S
DENVER, CO80220-3900
 Phone: 303-861-2190
 Fax: 303-355-4435
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for MOUNTAIN RHEUMATOLOGY LLC

NPI Number 1790703239
LBN Legal business name MOUNTAIN RHEUMATOLOGY LLC
Authorized official DAVID KORMAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/17/2006
Last updated 04/25/2023 - About 3 years ago
Identifiers
CO Medicaid 84253347
KS Medicaid 200365030A
KS Medicaid 200365030B
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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