CHRIST CLINIC INC
NPI 1265964704
Family Medicine in Fort Collins, CO

Active since April 03, 2017CLIA 06D2057712 · Microscopy
3920 S SHIELDS ST, FORT COLLINS, CO 80526(970) 481-2390(888) 801-1712 Get Directions Write a Review

NPPES record last updated: April 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Christ Clinic Inc NPPES

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

CHRIST CLINIC INC (NPI 1265964704) is a healthcare organization registered as a family medicine in Fort Collins, Colorado and active in the NPI registry since April 2017. The organization holds a CLIA Microscopy certificate valid through June 15, 2028 and lists Richard Edward Simmons, President, as its authorized official.

NPPES Registry Identity

NPI1265964704
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHRIST CLINIC INC
Location Address3920 S SHIELDS STFort Collins, CO 80526-3015
Mailing Address3920 S Shields StFort Collins, CO 80526-3015 · (970) 481-2390 · Fax (888) 801-1712
Fax(888) 801-1712
Organization SubpartNo
Authorized OfficialRichard Edward SimmonsPresident · (970) 214-7419
Enumeration DateApril 3, 2017
NPI 1265964704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3920 S SHIELDS ST, Fort Collins, CO 80526

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D2057712

Christ Clinic, Inc · Fort Collins, CO
Active · expires Jun 15, 2028
CLIA Number06D2057712
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 16, 2026
Certificate Expiration DateJune 15, 2028
Laboratory DirectorDr. Jason A. Chen
Laboratory Phone(970) 481-2390
Laboratory LocationChrist Clinic, Inc1213 Riverside Ave, Fort Collins, CO 80524
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Christ Clinic Inc's NPI number?

The NPI number for Christ Clinic Inc is 1265964704. It was assigned to this organization in the NPPES registry on April 3, 2017.

Where is Christ Clinic Inc located?

Christ Clinic Inc is located at 3920 S Shields St, Fort Collins, CO 80526. The listed phone number is (970) 481-2390.

What is Christ Clinic Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Christ Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D2057712) is associated with this NPI, valid through June 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Christ Clinic Inc was last updated on April 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.