Organization · Type 2 NPI

Intermountain Medical Group Denver, LLC

Primary Care Clinic/Center · Lakewood, CO

NPI number 1952913774 Active

Practice location

325 S Teller St Ste 250
Lakewood, CO 80226-7429

Call (303) 403-6600 Map

Fax (303) 403-6493

Mailing address

500 Eldorado Blvd Ste 6300
Broomfield, CO 80021-3422

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Primary Care Clinic/Center Primary	261QP2300X	None listed

Primary Care Clinic/Center: Definition to come...

Another provider at this address

Kiranmayi Padmaja Pires, PA-CPhysician Assistant Lakewood, CO NPI 1225646409

Other primary care clinic/center providers in Lakewood

See all in Lakewood →

NPI record

NPI: 1952913774
Entity type: Organization (Type 2)
Issued: Aug 21, 2020
Last updated: Jun 28, 2024
Status: Active
Subpart: Yes of Intermountain Front Range, Inc.

Other names

<unavail>
Belmar Clinic - Primary Care · doing business as

Authorized official

Jon McDaniel
VP Finance
(303) 272-0231

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1952913774

Intermountain Medical Group Denver, LLC's National Provider Identifier is 1952913774, issued on Aug 21, 2020. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Lakewood, CO. The record was last updated on Jun 28, 2024.