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NPI Code Detail

MEDICARE: VMD PRIMARY PROVIDERS COLORADO, INC

MEDICARE: VMD PRIMARY PROVIDERS COLORADO, INC
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
1261QP2300XPrimary Care Clinic/Center
2207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1861947657
Entity Type Code : Organization
Provider Name (Legal Business Name) : VMD PRIMARY PROVIDERS COLORADO, INC
Provider Business Mailing Address
First Line : PO BOX 32517
Second Line :
City : BELFAST
State : ME
Zip : 04915-0218
Country : US
Telephone Number : 844-969-0686
Fax Number : 866-825-4869
Provider Business Practice Location Address
First Line : 1107 S LEMAY AVE STE 200
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-3959
Country : US
Telephone Number : 970-484-1757
Fax Number : 970-484-9924
Authorized Official
Title or Position : DIRECTOR REVENUE CYCLE
Name : REBECCA RAGER
Credential :
Telephone Number : 844-969-0686
Provider Enumeration Date : 08/22/2016
Last Update Date : 03/27/2025

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Directions to “VMD PRIMARY PROVIDERS COLORADO, INC ” Practice Location

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