Provider Demographics
NPI:1043493331
Name:FRONT RANGE MEDICAL BILLING SERVICE, LLC
Entity Type:Organization
Organization Name:FRONT RANGE MEDICAL BILLING SERVICE, LLC
Other - Org Name:FRONT RANGE MEDICAL BILLING SERVICE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEMETRA
Authorized Official - Middle Name:ANIECE
Authorized Official - Last Name:SERIKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-649-9345
Mailing Address - Street 1:5892 POUDRE WAY
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-5401
Mailing Address - Country:US
Mailing Address - Phone:719-649-9345
Mailing Address - Fax:719-597-4467
Practice Address - Street 1:5892 POUDRE WAY
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-5401
Practice Address - Country:US
Practice Address - Phone:719-649-9345
Practice Address - Fax:719-597-4467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1744R1103X
CO15357246YC3302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246YC3302XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationCoding Specialist, Physician Office BasedGroup - Multi-Specialty
No1744R1103XOther Service ProvidersSpecialistResearch Data Abstracter/CoderGroup - Multi-Specialty