THORNTON CLINIC - NPI 1407465107 - Family Medicine in Thornton, CO

Q: What is Intermountain Medical Group Denver, LLC's specialty?

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

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About Thornton Clinic NPPES

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

THORNTON CLINIC (NPI 1407465107) is a healthcare organization registered as a family medicine in Thornton, Colorado and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through March 19, 2028 and lists Jon Mcdaniel, Vp Fiance Mgps Operations, as its authorized official.

NPPES Registry Identity

NPI1407465107

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameINTERMOUNTAIN MEDICAL GROUP DENVER, LLC

Location Address1181 E 120TH AVE UNIT AThornton, CO 80233-5729

Mailing Address500 Eldorado Blvd Ste 6300Broomfield, CO 80021-3422 · (303) 272-0566 · Fax (303) 272-0390

Phone(303) 673-1500

Fax(303) 689-6664

Organization SubpartYesParent: Intermountain Front Range, Inc.

Authorized OfficialJon McdanielVp Fiance Mgps Operations · (303) 272-0231

Enumeration DateJuly 28, 2020

Last NPPES UpdateJune 28, 20242 updates tracked since enumeration

NPPES CertifiedJune 28, 2024

✔ NPI 1407465107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

1181 E 120TH AVE UNIT A, Thornton, CO 80233

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Other Names 1

Doing Business AsThornton Clinic

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

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 of Waiver 06D0514737

Thornton Clinic · Thornton, CO

Active · expires Mar 19, 2028

CLIA Number06D0514737

Laboratory TypePhysician Office

Certificate Effective DateMarch 20, 2026

Certificate Expiration DateMarch 19, 2028

Laboratory DirectorPatrick Freeman

Laboratory Phone(303) 673-1500

Laboratory LocationThornton Clinic1181 E 120th Ave, Unit A, Thornton, CO 80233

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MS. ERIN CAROL CHENG PA-C

Physician Assistant (Medical)

1181 E 120TH AVE UNIT A
THORNTON, CO 80233

Adams County (303) 673-1500

JILL MARIE FLORES FNP-C

Nurse Practitioner (Family)

1181 E 120TH AVE UNIT A
THORNTON, CO 80233

Adams County (303) 673-1500

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 Intermountain Medical Group Denver, LLC's NPI number?

The NPI number for Intermountain Medical Group Denver, LLC is 1407465107. It was assigned to this organization in the NPPES registry on July 28, 2020. The provider is doing business as Thornton Clinic.

Where is Intermountain Medical Group Denver, LLC located?

Intermountain Medical Group Denver, LLC is located at 1181 E 120th Ave Unit A, Thornton, CO 80233. The listed phone number is (303) 673-1500.

What is Intermountain Medical Group Denver, LLC's specialty?

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

Does Intermountain Medical Group Denver, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D0514737) is associated with this NPI, valid through March 19, 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 Intermountain Medical Group Denver, LLC was last updated on June 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.