NPIMap

Organization Active NPI

VMD Primary Providers Colorado, Inc

  • Primary Care Clinic/Center
  • Longmont, CO
National Provider Identifier
1154035830
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
VMD PRIMARY PROVIDERS COLORADO, INC
Practice address
835 E 17TH Ave Ste 100
Longmont, CO 80504-3046
Phone
(720) 901-1400
NPI assigned
Jan 9, 2023
Organization subpart
Yes
Parent organization
VMD PRIMARY PROVIDERS COLORADO, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Rebecca Rager
Title
Director Revenue Cycle
Phone
(844) 969-0686

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

835 E 17TH Ave Ste 100
Longmont, CO 80504-3046

Mailing address

PO Box 32517
Belfast, ME 04915-0218
Phone (844) 969-0686

Other names 1

  • Village Medical - Longmont Other name

National Provider Directory

National Provider Directory
Tax ID family
Assoc in Fam Medicine18 organizations share this tax ID, including this one
Part of
Assoc in Fam Medicine

Other organizations with this tax ID 17

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

View all 17

Locations

825 E 17th Ave
Ste 100
Longmont, CO 80504

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1154035830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32517",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150218",
            "telephone_number": "844-969-0686",
            "fax_number": "866-825-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 E 17TH AVE STE 100",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805043046",
            "telephone_number": "720-901-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VMD PRIMARY PROVIDERS COLORADO, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VMD PRIMARY PROVIDERS COLORADO, INC",
        "enumeration_date": "2023-01-09",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "RAGER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "844-969-0686"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Medical - Longmont",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Village Medical - Longmont",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 27, 2025; 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.