Organization Active NPI

Morgan Community Walk- in Clinic

  • Clinic/Center
  • Fort Morgan, CO
National Provider Identifier
1427299304
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
46877 Issued in CO
Legal business name
MORGAN COMMUNITY WALK- IN CLINIC
Practice address
411 Main St Ste 203
Fort Morgan, CO 80701-2136
Phone
(970) 867-0662
Fax
(970) 867-0917
NPI assigned
Mar 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Authorized official

Name
Haftu Gebrehiwot, M.DNPI 1568664860
Title
Owner
Phone
(970) 867-0662

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
Clinic/Center 261Q00000X 46877 CO Primary

Addresses

Primary practice location

411 Main St Ste 203
Fort Morgan, CO 80701-2136

Mailing address

411 Main St Ste 203
Fort Morgan, CO 80701-2136
Phone (970) 867-0662

Other identifiers 1

IdentifierTypeStateIssuer
28921895MedicaidCO

National Provider Directory

National Provider Directory

Locations

411 Main St
Ste 203
Fort Morgan, CO 80701
Phone (970) 867-0662

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": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1427299304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MAIN ST STE 203",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807012136",
            "telephone_number": "970-867-0662",
            "fax_number": "970-867-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MAIN ST STE 203",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807012136",
            "telephone_number": "970-867-0662",
            "fax_number": "970-867-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN COMMUNITY WALK- IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "GEBREHIWOT",
        "authorized_official_first_name": "HAFTU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-867-0662",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "46877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28921895",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Morgan, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.