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FRONT RANGE CLINIC INC.
NPI 1356860803
Family Medicine - Addiction Medicine in Lakewood, CO

Active since September 15, 2017
1410 VANCE ST STE 211, LAKEWOOD, CO 80214(720) 597-5576(970) 639-4475 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2021, Dec 17, 2020, Sep 15, 2017 (3 updates tracked since 2017).

About Front Range Clinic Inc. NPPES

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

FRONT RANGE CLINIC INC. (NPI 1356860803) is a healthcare organization registered as an addiction medicine in Lakewood, Colorado and active in the NPI registry since September 2017. The organization lists Clark Mccoy, President, as its authorized official.

NPPES Registry Identity

NPI1356860803
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameFRONT RANGE CLINIC INC.
Location Address1410 VANCE ST STE 211Lakewood, CO 80214-5435
Mailing Address1040 E Elizabeth St Ste CFort Collins, CO 80524-3952 · (970) 493-9193 · Fax (970) 639-4475
Phone(720) 597-5576
Fax(970) 639-4475
Organization SubpartNo
Authorized OfficialClark MccoyPresident · (352) 214-7180
Enumeration DateSeptember 15, 2017
Last NPPES UpdateFebruary 2, 20213 updates tracked since enumeration
NPPES CertifiedDecember 17, 2020
✔ NPI 1356860803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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
Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X
1410 VANCE ST STE 211, Lakewood, CO 80214
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Other Identifiers 1

Medicaid1598135451CO

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

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 1356860803. It was assigned to this organization in the NPPES registry on September 15, 2017.

Where is Front Range Clinic Inc. located?

Front Range Clinic Inc. is located at 1410 Vance St Ste 211, Lakewood, CO 80214. The listed phone number is (720) 597-5576.

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 February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.