Fort Morgan Medical Group, PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

FORT MORGAN MEDICAL GROUP, PC

Practice address

102 W 9TH Ave
Fort Morgan, CO 80701-2012

Phone

(970) 867-5681

Fax

(970) 867-7361

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Rebecca Hepworth

Title

Business Manager

Phone

(970) 867-5681

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1396791646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W 9TH AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807012012",
            "telephone_number": "970-867-5681",
            "fax_number": "970-867-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W 9TH AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807012012",
            "telephone_number": "970-867-5681",
            "fax_number": "970-867-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT MORGAN MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "HEPWORTH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "970-867-5681"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04220083",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosita Flores
• Michael Foncannon, PHARMD, RPH
• Fort Mogan Dental LLC
• Fort Morgan Eye Care LLC
• Fort Morgan Family Dental
• Fort Morgan Orthodontic Center
• Fort Morgan Pediatric Clinic
• Andrea R. Frank, DDS
• Angela Marie Frenier, DPT
• Jennifer Thomas Fritzler, LCSW

• Health Service Clinic/Center in Fort Morgan, CO
• Providers in Fort Morgan, CO by specialty
• Health Service Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.