Healthcare Provider Details

I. General information

NPI: 1417178112
Provider Name (Legal Business Name): CONCEPTIONS REPRODUCTIVE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 W COUNTY LINE RD
LITTLETON CO
80129-1901
US

IV. Provider business mailing address

271 W COUNTY LINE RD
LITTLETON CO
80129-1901
US

V. Phone/Fax

Practice location:
  • Phone: 303-794-0045
  • Fax: 303-794-2054
Mailing address:
  • Phone: 303-794-0045
  • Fax: 303-794-2054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberCO23164
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberCO42370
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberCO22040
License Number StateCO

VIII. Authorized Official

Name: KATRINA M HAMMONS
Title or Position: PATIENT ACCOUNT MANAGER
Credential:
Phone: 303-794-8165