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General NPI Number Information
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NPI Number | 1417980566
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Entity Type | Organization
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Legal Business Name | MCKEE MEDICAL CENTER
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 2000 BOISE AVE
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City | LOVELAND
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State | CO
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Zip | 80538-5006
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Country | US
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Telephone | 970-820-4640
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Fax |
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Provider Business Mailing Address
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Address Line | 2901 N CENTRAL AVE STE 160
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City | PHOENIX
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State | AZ
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Zip | 85012-2702
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALAN QUALLS
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Credential |
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Telephone | 970-820-4640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 0174
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License Number State | CO
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