Bloom Colorado LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

BLOOM COLORADO LLC

Doing business as

AFC Urgent Care

Practice address

1942 E Main St
Cortez, CO 81321-3039

Phone

(970) 609-2001

NPI assigned

Nov 4, 2021

Last updated

Nov 4, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

BLOOM CARE LLCAs reported in NPPES

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

Authorized official

Name

Spencer Smith

Title

Ceo

Phone

(970) 609-2001

Specialties & licenses 1

Addresses

Other names 1

• AFC Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Bloom Colorado LLC

  dba AFC Urgent Care Grand Junction

  • Urgent Care Clinic/Center
  • Grand Junction, CO
  • NPI 1629662267

  O20220523002698

  Same enrollment
• Bloom Colorado LLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Colorado Springs, CO
  • NPI 1679346621

  O20220523002698

  Same enrollment

Part of

Bloom Care LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Bloom Idaho LLC

  dba AFC Urgent Care

  • Multi-Specialty Clinic/Center
  • Nampa, ID
  • NPI 1780291088

  Member Of

  NPD member

Locations

Practitioners 2

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.

• Cathy M McCoy, FNP-BC, PMHNP-BC

  • Family Nurse Practitioner
  • Grand Junction, CO
  • NPI 1255661955
  NPD
• Nicole Pistono, NP

  • Family Nurse Practitioner
  • Grand Junction, CO
  • NPI 1427858471
  NPD

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1306501341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5943",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234710943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 E MAIN ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213039",
            "telephone_number": "970-609-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM COLORADO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLOOM CARE LLC",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-609-2001"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFC Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Berger, P.T.
• Robert Michael Berger, RPH
• Margaret A Blackmer, RN
• Amanda Joan Blacow, LPC
• Blair W Pyle MD PC
• Daniel James Bohle, M.D.
• Natasha Bouchillon
• Linda Bouet, RN
• Israel Bowers, DPM
• Jacob Twyman Boyer, DMD

• Urgent Care Clinic/Center in Cortez, CO
• Providers in Cortez, CO by specialty
• Urgent Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.