MEDICARE: BIG THOMPSON MEDICAL GROUP INC

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	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1497014179
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIG THOMPSON MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	1441 N 12TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2837
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2555 E 13TH ST STE 100
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80537-5134
Country	:	US
Telephone Number	:	970-613-1745
Fax Number	:

Authorized Official
Title or Position	:	VP FINANCE
Name	:	DENNIS DAHLEN
Credential	:
Telephone Number	:	602-747-4000

Provider Enumeration Date	:	05/15/2012
Last Update Date	:	05/15/2012

Similar Medicare Providers

1346750288 — BANNER URGENT CARE COLORADO
Practice Location Address:

2555 E 13TH ST STE 110
LOVELAND, CO
80537-5134

Practice Phone: 970-820-4264
Practice Fax: 970-820-4278

1811448285 — BANNER HEALTH PHYSICIANS COLORADO LLC
Practice Location Address:

2555 E 13TH ST STE 105
LOVELAND, CO
80537-5134

Practice Phone: 970-820-6300
Practice Fax: 970-820-6311

1063430635 — MRS. JANICE C. HUGGER ARNP
Practice Location Address:

2555 E 13TH ST , SUITE 110
LOVELAND, CO
80537-5134

Practice Phone: 970-461-6140
Practice Fax: 970-461-6135

1053545095 — HORIZON LABORATORY LLC
Practice Location Address:

2555 E 13TH ST , SUITE 115
LOVELAND, CO
80537-5134

Practice Phone: 970-820-6914
Practice Fax:

1578873154 — MS. JESSICA ALISON PA-C
Practice Location Address:

2555 E 13TH ST STE 110
LOVELAND, CO
80537-5134

Practice Phone: 970-820-4264
Practice Fax:

1134483472 — BANNER HEALTH PHYSICIANS COLORADO LLC
Practice Location Address:

2555 E 13TH ST STE 100
LOVELAND, CO
80537-5134

Practice Phone: 970-613-1745
Practice Fax: 970-461-6160

Directions to “BIG THOMPSON MEDICAL GROUP INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.