Provider Demographics
NPI:1689708323
Name:ADAMS COUNTY SPINE & ACCIDENT CENTER, INC.
Entity Type:Organization
Organization Name:ADAMS COUNTY SPINE & ACCIDENT CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCCAIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-280-1622
Mailing Address - Street 1:1333 W 120TH AVE
Mailing Address - Street 2:SUITE 211
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-2708
Mailing Address - Country:US
Mailing Address - Phone:303-280-1622
Mailing Address - Fax:303-280-1625
Practice Address - Street 1:1333 W 120TH AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-2708
Practice Address - Country:US
Practice Address - Phone:303-280-1622
Practice Address - Fax:303-280-1625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC802344Medicare PIN
CO6537690001Medicare NSC