MEDICARE: EMERGENCY PHYSICIANS OF THE ROCKIES, PC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician		CO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CD3222	OTHER	CO	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174570717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMERGENCY PHYSICIANS OF THE ROCKIES, PC

Provider Business Mailing Address
First Line	:	PO BOX 209606
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75320-9606
Country	:	US
Telephone Number	:	800-225-0953
Fax Number	:	305-929-0729

Provider Business Practice Location Address
First Line	:	1024 S LEMAY AVE
Second Line	:
City	:	FT COLLINS
State	:	CO
Zip	:	80524-3929
Country	:	US
Telephone Number	:	970-495-8006
Fax Number	:	970-495-7641

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ELIZABETH J COLDREN
Credential	:
Telephone Number	:	970-495-8006

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	01/17/2026

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