Healthcare Provider Details

I. General information

NPI: 1497700447
Provider Name (Legal Business Name): FIRST CARE PHYSICIANS LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

295 E 29TH ST
LOVELAND CO
80538-2743
US

IV. Provider business mailing address

295 E 29TH ST
LOVELAND CO
80538-2743
US

V. Phone/Fax

Practice location:
  • Phone: 970-669-6000
  • Fax: 970-669-6002
Mailing address:
  • Phone: 970-669-6000
  • Fax: 970-669-6002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: THOMAS J ALLEN
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 970-669-6000