Healthcare Provider Details

I. General information

NPI: 1750392304
Provider Name (Legal Business Name): MEDICAL CENTER OF THE ROCKIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 ROCKY MOUNTAIN AVE
LOVELAND CO
80538-9004
US

IV. Provider business mailing address

7901 E. LOWRY BLVD. F402, 3RD FLOOR
DENVER CO
80230
US

V. Phone/Fax

Practice location:
  • Phone: 970-624-2500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number StateCO

VIII. Authorized Official

Name: DAVID THOMPSON
Title or Position: CFO
Credential:
Phone: 970-624-2500