Heron Lake Llc

  • 1407012826 NPI Number
  • |
  • Actived: 11 years ago
  • |
According to our database, NPI number for Heron Lake Llc is 1407012826 and actived since Tuesday, August 5 2008. Heron Lake Llc is an Organization provider specializes in Clinic/Center. Provider information was last updated on 01/14/2014.

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Overview of Heron Lake Llc

  • NPI number: 1811534621
  • Provider type: Organization
  • Specialty: Clinic/Center
  • Active since: 08/05/2008
  • Last updated: 01/14/2014

Primary Scrop of Practice

  • Taxonomy Code: 261Q00000X
  • Specialty: Clinic/Center
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 2695 Rocky Mountain Ave
    Ste 150
    Loveland, CO 80538
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 1625 Foxtrail Dr
    Ste 190
    Loveland, CO 80538
  • Phone: 970-619-6900
  • Fax: 970-619-6990

Authorized Official

  • Name: Stephanie Doughty
  • Position/Title: Cfo
  • Telephone Number: 970-237-7003

Scope of Practice

  • Taxonomy Code: 261Q00000X
  • Specialty: Clinic/Center
  • License Number:
  • License State:
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 92181031
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: CO
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for Heron Lake Llc?
  • A: The npi number for Heron Lake Llc is 1407012826.
  • Q: What are Heron Lake Llc's specialties?
  • A: Heron Lake Llc's specialties are Clinic/Center and different specialities.
  • Q: Where is Heron Lake Llc business practice location?
  • A: Heron Lake Llc business practice location is 1625 Foxtrail Dr, Loveland, CO 80538.
  • Q: How to contact Heron Lake Llc?
  • A: You can contact Heron Lake Llc via 970-619-6900.
  • Q: What is the authorized official for Heron Lake Llc?
  • A: The authorized office name is Stephanie Doughty with position/title is Cfo and you can reach the authorized official via phone number 9702377003.