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FRONT RANGE CLINIC INC.
NPI 1063008522
Family Medicine - Addiction Medicine in Pueblo, CO

Active since December 17, 2020
1249 E ROUTT AVE, PUEBLO, CO 81004(720) 808-0051 Get Directions Write a Review

NPPES record last updated: December 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Front Range Clinic Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRONT RANGE CLINIC INC. (NPI 1063008522) is a healthcare organization registered as an addiction medicine in Pueblo, Colorado and active in the NPI registry since December 2020. The organization lists Clark Steven Mccoy, President, as its authorized official.

NPPES Registry Identity

NPI1063008522
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameFRONT RANGE CLINIC INC.
Location Address1249 E ROUTT AVEPueblo, CO 81004-2908
Mailing Address1120 E Elizabeth St Ste G2Fort Collins, CO 80524-4044 · (970) 493-9193
Phone(720) 808-0051
Organization SubpartNo
Authorized OfficialClark Steven MccoyPresident · (970) 493-9193
Enumeration DateDecember 17, 2020
NPPES CertifiedDecember 17, 2020
✔ NPI 1063008522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily MedicineTaxonomy 207Q00000X
1249 E ROUTT AVE, Pueblo, CO 81004
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROCKY MOUNTAIN CLINICS LLC
Family Medicine (Addiction Medicine)
1249 E ROUTT AVE
PUEBLO, CO 81004
Pueblo County (720) 808-0051

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Front Range Clinic Inc.'s NPI number?

The NPI number for Front Range Clinic Inc. is 1063008522. It was assigned to this organization in the NPPES registry on December 17, 2020.

Where is Front Range Clinic Inc. located?

Front Range Clinic Inc. is located at 1249 E Routt Ave, Pueblo, CO 81004. The listed phone number is (720) 808-0051.

What is Front Range Clinic Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Front Range Clinic Inc. was last updated on December 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.