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4 ACTIVE HEALTH INC
NPI 1467909804
Clinic/Center - Health Service in Longmont, CO

Active since September 01, 2016
1225 KEN PRATT BLVD, SUITE 222, LONGMONT, CO 80501(303) 772-3100 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 9, 2021, Sep 1, 2016 (2 updates tracked since 2016).

About 4 Active Health Inc NPPES

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

4 ACTIVE HEALTH INC (NPI 1467909804) is a healthcare organization registered as a health service in Longmont, Colorado and active in the NPI registry since September 2016. The organization lists Jonathan C Shum, President, as its authorized official.

NPPES Registry Identity

NPI1467909804
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business Name4 ACTIVE HEALTH INC
Location Address1225 KEN PRATT BLVD, SUITE 222Longmont, CO 80501-6518
Mailing Address1225 Ken Pratt Blvd, Suite 222Longmont, CO 80501-6518 · (303) 772-3100
Phone(303) 772-3100
Organization SubpartNo
Authorized OfficialJonathan C ShumPresident · (303) 478-4678
Enumeration DateSeptember 1, 2016
Last NPPES UpdateNovember 9, 20212 updates tracked since enumeration
NPPES CertifiedNovember 9, 2021
✔ NPI 1467909804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in CO · 0004671
Also ListedChiropractorTaxonomy 111N00000X
1225 KEN PRATT BLVD, Longmont, CO 80501
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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 2

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

LISA RIVERA MA, LPC, LAC
Counselor
1225 KEN PRATT BLVD, STE. 200
LONGMONT, CO 80501
Boulder County (303) 772-3382
LARIMORE CHIROPRACTIC & MASSAGE LLC
Chiropractor
1225 KEN PRATT BLVD, SUITE 222
LONGMONT, CO 80501
Boulder County (303) 772-3100

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 4 Active Health Inc's NPI number?

The NPI number for 4 Active Health Inc is 1467909804. It was assigned to this organization in the NPPES registry on September 1, 2016.

Where is 4 Active Health Inc located?

4 Active Health Inc is located at 1225 Ken Pratt Blvd Suite 222, Longmont, CO 80501. The listed phone number is (303) 772-3100.

What is 4 Active Health Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for 4 Active Health Inc was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.