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NPI Code Detail

MEDICARE: VMD PRIMARY PROVIDERS COLORADO, INC

MEDICARE: VMD PRIMARY PROVIDERS COLORADO, 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
1207Q00000XFamily Medicine Physician
2261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1639629801
Entity Type Code : Organization
Provider Name (Legal Business Name) : VMD PRIMARY PROVIDERS COLORADO, INC
Provider Business Mailing Address
First Line : PO BOX 32517
Second Line :
City : BELFAST
State : ME
Zip : 04915-0218
Country : US
Telephone Number : 844-969-0686
Fax Number : 866-825-4869
Provider Business Practice Location Address
First Line : 2025 BIGHORN RD
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-3480
Country : US
Telephone Number : 970-229-9800
Fax Number : 970-229-1421
Authorized Official
Title or Position : DIRECTOR REVENUE CYCLE
Name : REBECCA RAGER
Credential :
Telephone Number : 844-969-0686
Provider Enumeration Date : 10/11/2016
Last Update Date : 03/27/2025

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