FRONT RANGE CLINIC INC.
NPI 1760078224
Family Medicine - Addiction Medicine in Boulder, CO

Q: What is Front Range Clinic Inc.'s NPI number?

The NPI number for Front Range Clinic Inc. is 1760078224. It was assigned to this organization in the NPPES registry on December 17, 2020.

Q: 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.

Active since December 17, 2020

4720 TABLE MESA DR STE B100, BOULDER, CO 80305(720) 476-7957 Get Directions Write a Review

NPPES record last updated: December 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Front Range Clinic Inc. NPPES

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

FRONT RANGE CLINIC INC. (NPI 1760078224) is a healthcare organization registered as an addiction medicine in Boulder, Colorado and active in the NPI registry since December 2020. The organization lists Clark Steven Mccoy, President, as its authorized official.

NPPES Registry Identity

NPI1760078224

Entity TypeOrganization

Primary Taxonomy207QA0401X

Legal Business NameFRONT RANGE CLINIC INC.

Location Address4720 TABLE MESA DR STE B100Boulder, CO 80305-5595

Mailing Address1120 E Elizabeth St Ste G2Fort Collins, CO 80524-4044 · (970) 493-9193

Phone(720) 476-7957

Organization SubpartNo

Authorized OfficialClark Steven MccoyPresident · (970) 493-9193

Enumeration DateDecember 17, 2020

NPPES CertifiedDecember 17, 2020

✔ NPI 1760078224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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

4720 TABLE MESA DR STE B100, Boulder, CO 80305

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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 1760078224. It was assigned to this organization in the NPPES registry on December 17, 2020.

Where is Front Range Clinic Inc. located?

Front Range Clinic Inc. is located at 4720 Table Mesa Dr Ste B100, Boulder, CO 80305. The listed phone number is (720) 476-7957.

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 December 17, 2020. 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.