Provider Demographics
NPI:1417178112
Name:CONCEPTIONS REPRODUCTIVE ASSOCIATES
Entity Type:Organization
Organization Name:CONCEPTIONS REPRODUCTIVE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATIENT ACCOUNT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HAMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-794-8165
Mailing Address - Street 1:271 W COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80129-1901
Mailing Address - Country:US
Mailing Address - Phone:303-794-0045
Mailing Address - Fax:303-794-2054
Practice Address - Street 1:271 W COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80129-1901
Practice Address - Country:US
Practice Address - Phone:303-794-0045
Practice Address - Fax:303-794-2054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO23164174400000X
COCO22040174400000X
COCO42370174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COB98730Medicare UPIN
COG20288Medicare UPIN
COD24028Medicare UPIN