Provider Demographics
NPI:1114557063
Name:FOOTHILLS INTEGRATED HEALTH SYSTEMS, LLC
Entity Type:Organization
Organization Name:FOOTHILLS INTEGRATED HEALTH SYSTEMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER,
Authorized Official - Prefix:
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-594-1438
Mailing Address - Street 1:7761 SHAFFER PKWY STE 225
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-3729
Mailing Address - Country:US
Mailing Address - Phone:303-862-1504
Mailing Address - Fax:303-933-9431
Practice Address - Street 1:7761 SHAFFER PKWY STE 225
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-3729
Practice Address - Country:US
Practice Address - Phone:303-862-1504
Practice Address - Fax:303-933-9431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-20
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty