EDWARDS MEDICAL PROVIDER GROUP; NPI #1619573904

Contact Information

EDWARDS MEDICAL PROVIDER GROUP

2205 CORDILLERA WAY STE LL
EDWARDS, CO 81632-6290

Phone: 970-693-0015
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 EDWARDS MEDICAL PROVIDER GROUP

NPI Number	`1619573904`
LBN Legal business name	EDWARDS MEDICAL PROVIDER GROUP
Authorized official	CHRISTOPHER AUSTIN - (CFO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/10/2020
Last updated	02/01/2024 - About 2 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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