MEDICARE: LIN HEALTH MEDICAL GROUP PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician
2	207Q00000X	Family Medicine Physician
3	2083P0901X	Public Health & General Preventive Medicine Physician
4	103TH0004X	Health Psychologist
5	103TH0100X	Health Service Psychologist
6	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician
7	208VP0000X	Pain Medicine Physician

General Provider Information

NPI Number	:	1013643436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIN HEALTH MEDICAL GROUP PA

Provider Business Mailing Address
First Line	:	3513 BRIGHTON BLVD STE 457
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80216-3810
Country	:	US
Telephone Number	:	720-740-2520
Fax Number	:

Provider Business Practice Location Address
First Line	:	3513 BRIGHTON BLVD STE 457
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80216-3810
Country	:	US
Telephone Number	:	720-740-2520
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR, OPERATIONS
Name	:	JESSIE DALTON
Credential	:
Telephone Number	:	720-740-2520

Provider Enumeration Date	:	07/27/2022
Last Update Date	:	10/30/2024

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Directions to “LIN HEALTH MEDICAL GROUP PA ” Practice Location

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