Healthcare Provider Details
I. General information
NPI: 1144471665
Provider Name (Legal Business Name): HIGH COUNTY HEALTH CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/02/2008
Last Update Date: 10/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
360 PEAK ONE DRIVE SUITE 260
FRISCO CO
80443
US
IV. Provider business mailing address
DEPARTMENT 1416
DENVER CO
80291
US
V. Phone/Fax
- Phone: 800-683-9930
- Fax:
- Phone: 970-668-5584
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SARAH
DUNN
Title or Position: ADMINSTRATIVE ASSISTANT
Credential:
Phone: 970-668-1796