Active NPI
Freese Medicine LLC
- Hospitalist Physician
- Delta, CO
National Provider Identifier
1790022622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- DR0050766
- Legal business name
- FREESE MEDICINE LLC
- Practice address
- 1501 E 3Rd St
Delta, CO 81416-2815 - Phone
- (970) 874-7681
- NPI assigned
- Jan 11, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Labrecque
- Title
- Accts. MGR
- Phone
- (702) 453-3799
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | DR0050766 | CO | Primary |
Addresses
Primary practice location
1501 E 3Rd St
Delta, CO 81416-2815
Mailing address
PO Box 343
Montrose, CO 81402-0343
Phone (702) 453-3799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50766 | Other | CO | CO LIC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461801600000",
"number": "1790022622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 343",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814020343",
"telephone_number": "702-453-3799",
"fax_number": "702-453-5741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 E 3RD ST",
"city": "DELTA",
"state": "CO",
"postal_code": "814162815",
"telephone_number": "970-874-7681"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREESE MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-11",
"last_updated": "2016-04-28",
"status": "A",
"authorized_official_last_name": "LABRECQUE",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "ACCTS. MGR",
"authorized_official_telephone_number": "702-453-3799"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": "CO",
"license": "DR0050766",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CO LIC",
"identifier": "50766",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.