QUAIL CREEK CLINIC
NPI 1760090146
Family Medicine in Broomfield, 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.

Active since July 21, 2020CLIA 06D2210312 · Waiver

2055 W 136TH AVE STE B118, BROOMFIELD, CO 80023(303) 673-1570(303) 673-1331 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 28, 2024, Jul 21, 2020 (2 updates tracked since 2020).

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About Quail Creek Clinic NPPES

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

QUAIL CREEK CLINIC (NPI 1760090146) is a healthcare organization registered as a family medicine in Broomfield, Colorado and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through May 31, 2027 and lists Jon Mcdaniel, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1760090146

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameINTERMOUNTAIN MEDICAL GROUP DENVER, LLC

Location Address2055 W 136TH AVE STE B118Broomfield, CO 80023-9308

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

Phone(303) 673-1570

Fax(303) 673-1331

Organization SubpartYesParent: Intermountain Front Range, Inc.

Authorized OfficialJon McdanielVp Of Finance · (303) 272-0231

Enumeration DateJuly 21, 2020

Last NPPES UpdateJune 28, 20242 updates tracked since enumeration

NPPES CertifiedJune 28, 2024

✔ NPI 1760090146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

2055 W 136TH AVE STE B118, Broomfield, CO 80023

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Other Names 1

Doing Business AsQuail Creek 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 06D2210312

Quail Creek Clinic · Broomfield, CO

Active · expires May 31, 2027

CLIA Number06D2210312

Laboratory TypePhysician Office

Certificate Effective DateJune 1, 2025

Certificate Expiration DateMay 31, 2027

Laboratory DirectorDr. Brian Leonard

Laboratory Phone(303) 673-1570

Laboratory LocationQuail Creek Clinic2055 W 136th Ave Ste B118, Broomfield, CO 80023

CLIA data matches this NPI record on: Address Name Phone

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

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 1760090146. It was assigned to this organization in the NPPES registry on July 21, 2020. The provider is doing business as Quail Creek Clinic.

Where is Intermountain Medical Group Denver, LLC located?

Intermountain Medical Group Denver, LLC is located at 2055 W 136th Ave Ste B118, Broomfield, CO 80023. The listed phone number is (303) 673-1570.

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 06D2210312) is associated with this NPI, valid through May 31, 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.