NPIMap

Organization Active NPI

Hopelight Medical Clinic

  • Health Service Clinic/Center
  • Longmont, CO
National Provider Identifier
1144896564
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
HOPELIGHT MEDICAL CLINIC
Practice address
1351 Collyer St
Longmont, CO 80501-3310
Phone
(303) 776-2625
Fax
(888) 863-4354
NPI assigned
May 27, 2021
Last updated
May 27, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
HOPELIGHT MEDICAL CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Authorized official

Name
Edward Bowen
Title
Executive Director
Phone
(303) 776-2625

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1351 Collyer St
Longmont, CO 80501-3310

Mailing address

1351 Collyer St
Longmont, CO 80501-3310
Phone (303) 776-2625

Other identifiers 1

IdentifierTypeStateIssuer
9000124860MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Hopelight Medical Clinic4 organizations share this tax ID, including this one
Part of
Hopelight Medical Clinic

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1144896564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 COLLYER ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013310",
            "telephone_number": "303-776-2625",
            "fax_number": "888-863-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 COLLYER ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013310",
            "telephone_number": "303-776-2625",
            "fax_number": "888-863-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPELIGHT MEDICAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOPELIGHT MEDICAL CLINIC",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-776-2625"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000124860",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.