Organization Active NPI

Internal Medicine Clinic Inc.

  • Clinical Medical Laboratory
  • Fort Collins, CO
National Provider Identifier
1013934892
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
INTERNAL MEDICINE CLINIC INC.
Practice address
1100 Poudre River Drive
Fort Collins, CO 80524-3500
Phone
(970) 224-9508
Fax
(970) 224-1210
NPI assigned
Jul 16, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. David Michael Abbey, MS MDNPI 1568483196
Title
Secretary Treasurer
Phone
(970) 224-9508

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

1100 Poudre River Dr
Fort Collins, CO 80524
Phone (970) 224-9508

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CO Primary

Addresses

NPPES NPI Registry

Primary practice location

1100 Poudre River Drive
Fort Collins, CO 80524-3500

Mailing address

1100 Poudre River Drive
Fort Collins, CO 80524-3500
Phone (970) 224-9508

Other names 1

NPPES NPI Registry
  • Physicians Management Corporation Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 26, 2007.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1013934892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 POUDRE RIVER DRIVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243500",
            "telephone_number": "970-224-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 POUDRE RIVER DRIVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243500",
            "telephone_number": "970-224-9508",
            "fax_number": "970-224-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "ABBEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "970-224-9508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MS MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Management Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.