Organization Active NPI

C Lynn Partridge MD LLC

  • Adult Mental Health Clinic/Center
  • Durango, CO
National Provider Identifier
1205179397
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
20131082321 Issued in CO
Legal business name
C LYNN PARTRIDGE MD LLC
Practice address
2243 Main Ave
Ste 4E
Durango, CO 81301-4699
Phone
(970) 749-8895
Fax
(970) 385-4909
NPI assigned
Mar 27, 2013
Last updated
Mar 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Carole Lynn Partridge, MDNPI 1558440537
Title
Manager
Phone
(970) 749-8895

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
Adult Mental Health Clinic/Center 261QM0850X 20131082321 CO Primary

Addresses

Primary practice location

2243 Main Ave
Ste 4E
Durango, CO 81301-4699

Mailing address

2243 Main Ave
Ste 4E
Durango, CO 81301-4699
Phone (970) 749-8895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130917000184 CO Part B Supplier - Clinic/Group Practice 6608010459 Receives reassigned benefits from 1 practitioner
Practice locations: Durango, CO

National Provider Directory

National Provider Directory

Locations

2243 Main Ave
Ste 4E
Durango, CO 81301
Phone (970) 749-8895

Practitioners & affiliated clinicians

Practitioners 3

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": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1205179397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 MAIN AVE",
            "address_2": "STE 4E",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014699",
            "telephone_number": "970-749-8895",
            "fax_number": "970-385-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2243 MAIN AVE",
            "address_2": "STE 4E",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014699",
            "telephone_number": "970-749-8895",
            "fax_number": "970-385-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C LYNN PARTRIDGE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "PARTRIDGE",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "970-749-8895",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CO",
            "license": "20131082321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.