Organization Active NPI

Campus Clinics, LLC

  • General Practice Physician
  • Greeley, CO
National Provider Identifier
1639402779
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
32068 Issued in CO
Legal business name
CAMPUS CLINICS, LLC
Practice address
1901 10TH Ave
Campus Box 37
Greeley, CO 80639-5545
Phone
(970) 351-2412
Fax
(970) 351-2427
NPI assigned
Sep 8, 2009
Last updated
Sep 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Authorized official

Name
Dr. Nathan C Ginn, D.C.
Title
General Partner
Phone
(970) 351-2412

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 32068 CO Primary
Rehabilitation Chiropractor 111NR0400X 5112 CO

Addresses

Primary practice location

1901 10TH Ave
Campus Box 37
Greeley, CO 80639-5545

Mailing address

1901 10TH Ave
Campus Box 37
Greeley, CO 80639-5545
Phone (970) 351-2412

Other names 1

  • Campus Clinics Other name

National Provider Directory

National Provider Directory
Tax ID family
Campus Clinics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1639402779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 10TH AVE",
            "address_2": "CAMPUS BOX 37",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806395545",
            "telephone_number": "970-351-2412",
            "fax_number": "970-351-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 10TH AVE",
            "address_2": "CAMPUS BOX 37",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806395545",
            "telephone_number": "970-351-2412",
            "fax_number": "970-351-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPUS CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "GINN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "970-351-2412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "32068",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CO",
            "license": "5112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campus Clinics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.