Alpine Family Practice P.C.
Organization Active NPI Family Medicine Physician · Aurora, CO
NPI 1750355210 · NPPES record last updated Nov 17, 2010
Key facts
- NPI
- 1750355210
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ALPINE FAMILY PRACTICE P.C.
- Practice address
- 1400 S Potomac St
Suite # 130
Aurora, CO 80012-4528 - Phone
- (303) 752-1157
- Fax
- (303) 752-1236
- NPI assigned
- Feb 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Quinn Lichfield, D.O.
- Title
- President
- Phone
- (303) 752-1157
Practitioners 2
-
Dena Jo Lichfield, D.O.
-
Quinn T Lichfield, D.O.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D1016351 | Alpine Family Practice PC | Provider-performed microscopy | Sep 16, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040324001702 | CO | Part B Supplier - Clinic/Group Practice | 3072405265 |
Receives reassigned benefits from 2 practitioners Practice locations: Aurora, CO |
National Provider Directory
Locations
1400 S Potomac St
Ste 130
Aurora, CO 80012
Phone (303) 752-1157
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1400 S Potomac St
Suite # 130
Aurora, CO 80012-4528
Mailing address
1400 S Potomac St
Suite # 130
Aurora, CO 80012-4528
Phone (303) 752-1157
Other providers in Aurora, CO
- Alpha Medical Supplies
- Alpha Omega Counseling, LLC
- Alpha Sleep Diagnostic Centers LLC
- Alpine Adult Day Care, LLC
- Alpine Assessments PLLC
- Alpine Lakes Counseling Center, LLC
- Alpine Medical Group Colorado PLLC
- Katherine Alpogianis
- Ziyad Mohammed a Alrajhi
- Muftah Alsaadawi
All providers in Aurora, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.