BIG THOMPSON MEDICAL GROUP INC.; NPI #1407147416

Contact Information

BIG THOMPSON MEDICAL GROUP INC.

914 W 6TH ST
LOVELAND, CO 80537-5341

Phone: 970-667-3976
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Multi-Specialty	261QM1300X	70	Clinic or Group Practice

Indicates primary specialty

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NPI Profile & details for BIG THOMPSON MEDICAL GROUP INC.

NPI Number 1407147416

LBN Legal business name BIG THOMPSON MEDICAL GROUP INC.

Authorized official DENNIS DAHLEN - (SR VP FINANCE)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 04/25/2011

Last updated 04/27/2011 - About 15 years ago

Identifiers

Medicaid

04657045

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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