Fountain Medical Center LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

18J172 Issued in CO

Legal business name

FOUNTAIN MEDICAL CENTER LLC

Doing business as

UCHealth Emergency Room

Practice address

7890 Fountain Mesa Rd
Fountain, CO 80817-1595

Phone

(972) 899-6650

Fax

(972) 899-5954

NPI assigned

Apr 3, 2014

Last updated

Nov 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tim Fielding

Title

Cfo

Phone

(972) 899-6650

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• UCHealth Emergency Room Doing business as

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447545600000",
    "number": "1952729287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840795",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840795",
            "telephone_number": "972-899-6650",
            "fax_number": "972-899-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7890 FOUNTAIN MESA RD",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808171595",
            "telephone_number": "972-899-6650",
            "fax_number": "972-899-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2015-11-15",
        "status": "A",
        "authorized_official_last_name": "FIELDING",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-899-6650"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "CO",
            "license": "18J172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JCAHO",
            "identifier": "434148",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCHealth Emergency Room",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fountain Chiropractic and Wellness Center
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• Fountain Valley Health Care LLC (Fountain Valley Behavioral Health)
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• Xavier Amir Fountain
• Cassandra Fox-Oatman
• Heather L Frazier, PHARM.D.

• Emergency Care Clinic/Center in Fountain, CO
• Providers in Fountain, CO by specialty
• Emergency Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2015; 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.