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OUR LADY OF GRACE MEDICAL CLINIC PC
NPI 1356474647
Family Medicine in Northglenn, CO

Active since March 14, 2007
992 W 104TH AVE, NORTHGLENN, CO 80234(303) 531-5181(303) 531-5185 Get Directions Write a Review

NPPES record last updated: March 4, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Our Lady Of Grace Medical Clinic Pc NPPES

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

OUR LADY OF GRACE MEDICAL CLINIC PC (NPI 1356474647) is a healthcare organization registered as a family medicine in Northglenn, Colorado and active in the NPI registry since March 2007. The organization lists Carlos F Vera, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356474647
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOUR LADY OF GRACE MEDICAL CLINIC PC
Location Address992 W 104TH AVENorthglenn, CO 80234-3801
Mailing AddressPo Box 350968Westminster, CO 80035-0968 · (303) 531-5181 · Fax (303) 531-5185
Phone(303) 531-5181
Fax(303) 531-5185
Organization SubpartNo
Authorized OfficialCarlos F VeraCeo · (303) 531-5181
Enumeration DateMarch 14, 2007
Last NPPES UpdateMarch 4, 2008
✔ NPI 1356474647 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.
992 W 104TH AVE, Northglenn, CO 80234
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Other Identifiers 2

Medicaid92600786CO
Medicare PIN802522CO

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

Other Providers at the Same Location NPPES

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

BRETT EDOUARD VALETTE PHD
Psychologist
992 W 104TH AVE
NORTHGLENN, CO 80234
Adams County (303) 234-1026

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 Our Lady Of Grace Medical Clinic PC's NPI number?

The NPI number for Our Lady Of Grace Medical Clinic PC is 1356474647. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is Our Lady Of Grace Medical Clinic PC located?

Our Lady Of Grace Medical Clinic PC is located at 992 W 104th Ave, Northglenn, CO 80234. The listed phone number is (303) 531-5181.

What is Our Lady Of Grace Medical Clinic PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Our Lady Of Grace Medical Clinic PC was last updated on March 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.