QUAIL CREEK CLINIC
NPI 1760090146
Family Medicine in Broomfield, CO

NPI Status: Active since July 21, 2020

Contact Information

2055 W 136TH AVE STE B118
BROOMFIELD, CO
ZIP 80023
Phone: (303) 673-1570
Fax: (303) 673-1331

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  • Organization
  • Family Medicine
  • CLIA Number: 06D2210312
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-31-2027

About QUAIL CREEK CLINIC

This page provides the complete NPI Profile along with additional information for Quail Creek Clinic, a primary care provider established in Broomfield, Colorado operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1760090146 assigned on July 2020. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Quail Creek Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Quail Creek Clinic. The authorized official of this NPI record is Jon Mcdaniel (Vp Of Finance)

NPI
1760090146
Provider Legal Name
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Other Organization Name
QUAIL CREEK CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2055 W 136TH AVE STE B118 BROOMFIELD, CO 80023
Location Phone
(303) 673-1570
Location Fax
(303) 673-1331
Mailing Address
500 ELDORADO BLVD STE 6300 BROOMFIELD, CO 80021
Mailing Phone
(303) 272-0566
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-21-2020
Last Update Date
06-28-2024
Code Navigator

A primary care provider (PCP) like Quail Creek Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JON MCDANIEL

Authorized Official Title
VP OF FINANCE
Authorized Official Phone
(303) 272-0231

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D2210312
Facility Type
Physician Office
Certificate Effective Date
June 01, 2025
Certificate Expiration Date
May 31, 2027
Laboratory Director
DR. BRIAN LEONARD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Quail Creek Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1760090146, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 0 → 0 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 2 + 0 + 0 + 9 + 0 + 1 + 8 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1760090146.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760090146, enumerated as an "organization" on July 21, 2020.

The provider is located at 2055 W 136TH AVE STE B118 BROOMFIELD, CO 80023 and the phone number is (303) 673-1570.

Family Medicine with taxonomy code 207Q00000X.