NPIMap

Organization Active NPI

Internal Medicine Clinic Inc.

Doing business as Physicians Management Corporation

  • 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.
Doing business as
Physicians Management Corporation
Practice address
1100 Poudre River Drive
Fort Collins, CO 80524-3500
Phone
(970) 224-9508
Fax
(970) 224-1210
NPI assigned
Jul 16, 2006
Last updated
Nov 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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.

Specialties & licenses 1

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

Addresses

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

  • Physicians Management Corporation Doing business as

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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.