Provider Demographics
NPI:1093274409
Name:NORTHERN COLORADO COMMUNITY URGENT CARE, PC
Entity Type:Organization
Organization Name:NORTHERN COLORADO COMMUNITY URGENT CARE, PC
Other - Org Name:NOCO COMMUNITY URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-713-2600
Mailing Address - Street 1:1159 EAGLE DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-8020
Mailing Address - Country:US
Mailing Address - Phone:970-219-5223
Mailing Address - Fax:
Practice Address - Street 1:1275 EAGLE DR STE 1159
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-8058
Practice Address - Country:US
Practice Address - Phone:248-760-7944
Practice Address - Fax:970-672-2884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-15
Last Update Date:2020-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care