Heart Center of the Rockies Cath Lab LLC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

31863 Issued in CO

Legal business name

HEART CENTER OF THE ROCKIES CATH LAB LLC

Practice address

2500 Rocky Mountain Ave
Loveland, CO 80538

Phone

(970) 624-1756

Fax

(970) 624-1792

NPI assigned

Aug 11, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Dale Richardson

Title

Administrator

Phone

(970) 297-6931

Specialties & licenses 2

Addresses

Other identifiers 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Poudre Valley Health Care Inc

  • General Acute Care Hospital
  • Greeley, CO
  • NPI 1962158857

  Member Of

  NPD member

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1811999758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD",
            "address_2": "STE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283400",
            "telephone_number": "970-297-6866",
            "fax_number": "970-297-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ROCKY MOUNTAIN AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "80538",
            "telephone_number": "970-624-1756",
            "fax_number": "970-624-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART CENTER OF THE ROCKIES CATH LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "970-297-6931",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "31863",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CO",
            "license": "31863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25139347",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "HE642103",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthone Clinic Services-Surgical Specialties LLC
• Healthone Clinic Services-Surgical Specialties LLC
• Healthy Life Homecare LLC
• Hearing Center of the Rockies LLC
• Hearing Rehabilitation Center Inc
• Heart Centered Counseling, PC
• Heart Centered Counseling, PC
• Heart Centered Counseling, PC
• Heartfelt Holistic Healing LLC
• Heartsprings Corporation

• Interventional Cardiology Physician in Loveland, CO
• Providers in Loveland, CO by specialty
• Interventional Cardiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.