Organization Active NPI

Western Infectious Disease Infusion Center, Inc

  • Infectious Disease Physician
  • Longmont, CO
National Provider Identifier
1649927740
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
WESTERN INFECTIOUS DISEASE INFUSION CENTER, INC
Practice address
1551 Professional LN Unit 280
Longmont, CO 80501-6965
Phone
(303) 425-9245
Fax
(720) 600-5140
NPI assigned
Mar 8, 2022
Organization subpart
Yes
Parent organization
WESTERN INFECTIOUS DISEASE INFUSION CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Ruth M Smith
Title
Practice Administrator
Phone
(303) 425-9245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

1551 Professional LN Unit 280
Longmont, CO 80501-6965

Mailing address

3885 Upham St Ste 200
Wheat Ridge, CO 80033-4800
Phone (303) 425-9245

National Provider Directory

National Provider Directory
Tax ID family
Western Infectious Disease Infusion Center Inc2 organizations share this tax ID, including this one
Part of
Western Infectious Disease Infusion Center Inc

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": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1649927740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 UPHAM ST STE 200",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334800",
            "telephone_number": "303-425-9245",
            "fax_number": "720-974-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 PROFESSIONAL LN UNIT 280",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016965",
            "telephone_number": "303-425-9245",
            "fax_number": "720-600-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN INFECTIOUS DISEASE INFUSION CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN INFECTIOUS DISEASE INFUSION CENTER, INC",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "303-425-9245"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 9, 2022; 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.