1. Home
  2. Directory
  3. Colorado
  4. Firestone
  5. Family Medicine
  6. NPI Profile

FIRESTONE CLINIC
NPI 1568070944
Family Medicine in Firestone, CO

Active since July 21, 2020CLIA 06D1078365 · Waiver
8350 COLORADO BLVD UNIT 160, FIRESTONE, CO 80504(303) 689-5160(303) 689-5175 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 28, 2024, Nov 17, 2023, Jul 21, 2020 (3 updates tracked since 2020).

About Firestone Clinic NPPES

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

FIRESTONE CLINIC (NPI 1568070944) is a healthcare organization registered as a family medicine in Firestone, Colorado and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Jon Mcdaniel, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1568070944
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Location Address8350 COLORADO BLVD UNIT 160Firestone, CO 80504-6803
Mailing Address500 Eldorado Blvd Ste 6300Broomfield, CO 80021-3422 · (303) 272-0566
Phone(303) 689-5160
Fax(303) 689-5175
Organization SubpartYesParent: Intermountain Front Range, Inc.
Authorized OfficialJon McdanielVp Of Finance · (303) 272-0231
Enumeration DateJuly 21, 2020
Last NPPES UpdateJune 28, 20243 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1568070944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
8350 COLORADO BLVD UNIT 160, Firestone, CO 80504
Open in Google Maps ↗

Other Names 2

Doing Business AsFirestone Clinic
Other NameFirestone Clinic - Neurology

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 06D1078365

Firestone Clinic · Firestone, CO
Active · expires Feb 21, 2027
CLIA Number06D1078365
Laboratory TypePhysician Office
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorDr. Thomas D. Mino III
Laboratory Phone(303) 689-5160
Laboratory LocationFirestone Clinic8350 Colorado Blvd, Ste 160, Firestone, CO 80504
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.

ADAM TYLER BRYAN MD
Family Medicine
8350 COLORADO BLVD UNIT 160
FIRESTONE, CO 80504
Weld County (303) 689-5160
ALLISON KLEIN FNP
Family Medicine
8350 COLORADO BLVD UNIT 160
FIRESTONE, CO 80504
Weld County (303) 689-5160

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 1568070944. It was assigned to this organization in the NPPES registry on July 21, 2020. The provider is doing business as Firestone Clinic. The provider is also known as Firestone Clinic - Neurology.

Where is Intermountain Medical Group Denver, LLC located?

Intermountain Medical Group Denver, LLC is located at 8350 Colorado Blvd Unit 160, Firestone, CO 80504. The listed phone number is (303) 689-5160.

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 06D1078365) is associated with this NPI, valid through February 21, 2027. 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.