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Contact Information

NCMC SPECIALTY CLINIC
1801 16TH ST
GREELEY, CO80631-5154
 Phone: 970-378-4475
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for NCMC SPECIALTY CLINIC

NPI # 1023046620
LBN Legal business name NCMC SPECIALTY CLINIC
Authorized official ALAN QUALLS - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/30/2006
Last updated 10/28/2024 - More than a year ago
Identifiers
CO Medicaid 93588321
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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