Heron Lake Llc is a Clinic/center in Loveland, Colorado. Heron Lake Llc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Heron Lake Llc is 1407012826. The last update date is 2014-01-14.
Heron Lake Llc's current location address is 1625 Foxtrail Dr, Loveland, Colorado. You can contact this provider via phone number 9706196900 and fax number 9706196990. The mailing address for Heron Lake Llc is 1625 Foxtrail Dr, Loveland, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Heron Lake Llc |
|---|---|
| Address | 1625 Foxtrail Dr, Loveland, Colorado |
| Phone Number | 9706196900 |
| Fax Number | 9706196990 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Doughty Stephanie |
| Telephone Number | 9702377003 |
NPI Number Detail
| NPI Number | 1407012826 |
|---|---|
| Provider Enumeration Date | 2008-08-05 |
| Last Updated Date | 2014-01-14 |
Provider Mailing Address Detail
| Address | 1625 Foxtrail Dr |
|---|---|
| City | Loveland |
| State | Colorado (CO) |
| Post Code | 805389088 |
| Phone Number | 9706196900 |
| Fax Number | 9706196990 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 92181031 | CO | -- |
Post Comment/ Review Below
What is the Heron Lake Llc's 1407012826?
The Heron Lake Llc's NPI (National Provider Identifier) Number is 1407012826. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Heron Lake Llc is geographically located?
The Heron Lake Llc is physically situated at the following location: 1625 Foxtrail Dr, Loveland, CO, 805389088.
What is Heron Lake Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Heron Lake Llc is Clinic/center, and the taxonomy code that classifies this field of practice is 261Q00000X.
On what date did the Heron Lake Llc receive the assignment of its 1407012826 from the Centers for Medicare & Medicaid Services?
The Heron Lake Llc was issued its 1407012826 by the Centers for Medicare & Medicaid Services on 2008-08-05.
As of what date was the information regarding Heron Lake Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Heron Lake Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-01-14.