MEDICARE: FRONT RANGE MEDICAL BILLING SERVICE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1744R1103X	Research Study Abstracter/Coder		CO
2	246YC3302X	Physician Office Based Coding Specialist	15357	CO

General Provider Information

NPI Number	:	1043493331
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRONT RANGE MEDICAL BILLING SERVICE, LLC

Provider Business Mailing Address
First Line	:	5892 POUDRE WAY
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-5401
Country	:	US
Telephone Number	:	719-649-9345
Fax Number	:	719-597-4467

Provider Business Practice Location Address
First Line	:	5892 POUDRE WAY
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-5401
Country	:	US
Telephone Number	:	719-649-9345
Fax Number	:	719-597-4467

Authorized Official
Title or Position	:	CEO
Name	:	MRS. DEMETRA ANIECE SERIKI
Credential	:
Telephone Number	:	719-649-9345

Provider Enumeration Date	:	12/10/2007
Last Update Date	:	12/10/2007

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