Active NPI
Longmont United Hospital
- Psychiatric Hospital Unit
- Longmont, CO
National Provider Identifier
1528081023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- Legal business name
- LONGMONT UNITED HOSPITAL
- Practice address
- 1950 Mountain View Ave
Longmont, CO 80501-3129 - Phone
- (303) 651-5111
- Fax
- (303) 651-5268
- NPI assigned
- Jul 25, 2006
- Organization subpart
- Yes
- Parent organization
- LONGMONT UNITED HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mitchell Carson
- Title
- Ceo
- Phone
- (303) 651-5024
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | Primary |
Addresses
Primary practice location
1950 Mountain View Ave
Longmont, CO 80501-3129
Mailing address
1950 W Mountain View Ave
Longmont, CO 80501-3129
Phone (303) 651-5111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04003158 | Medicaid | CO | |
| 05003009 | Medicaid | CO |
Other names 1
- Behavioral Health Psychiatric Unit
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040218000875 | CO | Part B Supplier - Clinic/Group Practice | 2769377787 |
Receives reassigned benefits from 1 practitioner 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Longmont, CO |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- United Medical Center E
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235520000000",
"number": "1528081023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 W MOUNTAIN VIEW AVE",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013129",
"telephone_number": "303-651-5111",
"fax_number": "303-651-5268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 MOUNTAIN VIEW AVE",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013129",
"telephone_number": "303-651-5111",
"fax_number": "303-651-5268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONGMONT UNITED HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LONGMONT UNITED HOSPITAL",
"enumeration_date": "2006-07-25",
"last_updated": "2009-02-25",
"status": "A",
"authorized_official_last_name": "CARSON",
"authorized_official_first_name": "MITCHELL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "303-651-5024",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04003158",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05003009",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Behavioral Health Psychiatric Unit",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.