NPI 1124396718 · live from the CMS NPI Registry
Advanced Healthcare, PLLC
Family Medicine in Fort Collins, CO. National Provider Identifier 1124396718, active.
NPI record
| NPI | 1124396718 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2531 S Shields St Ste 2h, Fort Collins, CO 80526 |
| Practice phone | 970-472-8333 |
| Enumerated | December 9, 2011 |
| Last updated | January 6, 2014 |
| Authorized official | Nathan Irwin, Clinic Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor, Rehabilitation | 111NR0400X | 5759 (CO) |
| Family Medicine primary | 207Q00000X | 49380 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.