NPIMap

Organization Active NPI

Front Range Clinic Inc.

  • Community/Behavioral Health Agency
  • Fort Collins, CO
National Provider Identifier
1467963447
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FRONT RANGE CLINIC INC.
Practice address
1040 E Elizabeth St Ste C
Fort Collins, CO 80524-3952
Phone
(970) 493-9193
Fax
(970) 639-4475
NPI assigned
Oct 18, 2017
Last updated
Oct 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Authorized official

Name
Dr. Clark Steven McCoy, MDNPI 1871517912
Title
President
Phone
(970) 493-9193

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Psychologist 103T00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1040 E Elizabeth St Ste C
Fort Collins, CO 80524-3952

Mailing address

1040 E Elizabeth St Ste C
Fort Collins, CO 80524-3952
Phone (970) 493-9193

National Provider Directory

National Provider Directory
Tax ID family
Front Range Clinic Inc19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Practitioners & affiliated clinicians

Practitioners 1

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": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1467963447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 E ELIZABETH ST STE C",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243952",
            "telephone_number": "970-493-9193",
            "fax_number": "970-639-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 E ELIZABETH ST STE C",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243952",
            "telephone_number": "970-493-9193",
            "fax_number": "970-639-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-493-9193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.