Provider Demographics
NPI:1043584253
Name:FRONT RANGE PRIMARY CARE PARTNERS LLC
Entity Type:Organization
Organization Name:FRONT RANGE PRIMARY CARE PARTNERS LLC
Other - Org Name:MT. CARMEL HEALTH & WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:REHM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-407-0525
Mailing Address - Street 1:6895 E HAMPDEN AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-3047
Mailing Address - Country:US
Mailing Address - Phone:303-894-9595
Mailing Address - Fax:
Practice Address - Street 1:911 ROBINSON AVE
Practice Address - Street 2:
Practice Address - City:TRINIDAD
Practice Address - State:CO
Practice Address - Zip Code:81082-2832
Practice Address - Country:US
Practice Address - Phone:719-845-4880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRONT RANGE PRIMARY CARE PARTNERS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-06
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty