Provider Demographics
NPI:1124200696
Name:HIGH COUNTRY INTERNAL MEDICINE, P.C.
Entity Type:Organization
Organization Name:HIGH COUNTRY INTERNAL MEDICINE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:LAMB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-522-7266
Mailing Address - Street 1:620 IRIS DR
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:CO
Mailing Address - Zip Code:80751-4716
Mailing Address - Country:US
Mailing Address - Phone:970-522-7266
Mailing Address - Fax:970-522-4258
Practice Address - Street 1:620 IRIS DR
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:CO
Practice Address - Zip Code:80751-4716
Practice Address - Country:US
Practice Address - Phone:970-522-7266
Practice Address - Fax:970-522-4258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04743043Medicaid
CO74304Medicare PIN