Provider Demographics
NPI:1093416588
Name:PLUME HEALTH, PC
Entity Type:Organization
Organization Name:PLUME HEALTH, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:PHANORD-MONTROSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-248-4483
Mailing Address - Street 1:303 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-1558
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3100 47TH AVE STE 3100
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-3050
Practice Address - Country:US
Practice Address - Phone:720-248-4483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty