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COAL CREEK FAMILY MEDICINE
NPI 1942407622
Specialist in Louisville, CO

Active since June 27, 2007CLIA 06D0682380 · Microscopy
1044 S 88TH ST, STE 200, LOUISVILLE, CO 80027(303) 666-7119(303) 666-5995 Get Directions Write a Review

NPPES record last updated: September 4, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coal Creek Family Medicine NPPES

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

COAL CREEK FAMILY MEDICINE (NPI 1942407622) is a healthcare organization registered as a specialist in Louisville, Colorado and active in the NPI registry since June 2007. The organization holds a CLIA Microscopy certificate valid through November 21, 2026 and lists Donielle Dutton, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1942407622
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOAL CREEK FAMILY MEDICINE
Location Address1044 S 88TH ST, STE 200Louisville, CO 80027-9417
Mailing Address1044 S 88th St, Ste 200Louisville, CO 80027-9417 · (303) 666-7119 · Fax (303) 666-5995
Phone(303) 666-7119
Fax(303) 666-5995
Organization SubpartNo
Authorized OfficialDonielle DuttonPractice Manager · (303) 666-7119
Enumeration DateJune 27, 2007
Last NPPES UpdateSeptember 4, 2008
✔ NPI 1942407622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1044 S 88TH ST, Louisville, CO 80027
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedC363008CO · Medicare Group Id

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

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 for Provider-Performed Microscopy Procedures (PPMP) 06D0682380

Coal Creek Family Medicine · Louisville, CO
Active · expires Nov 21, 2026
CLIA Number06D0682380
Laboratory TypePhysician Office
Certificate Effective DateNovember 22, 2024
Certificate Expiration DateNovember 21, 2026
Laboratory DirectorDr. Marcie M. Lavigne
Laboratory Phone(303) 666-7119
Laboratory LocationCoal Creek Family Medicine1044 S 88th St Ste 200, Louisville, CO 80027
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

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

DR. SHEP ADAM PHILLIPS DC
Chiropractor
1044 S 88TH ST, SUITE 100
LOUISVILLE, CO 80027
Boulder County (303) 665-9549
GOLDEN CHIROPRACTIC SPA
Chiropractor
1044 S 88TH ST, SUITE 100
LOUISVILLE, CO 80027
Boulder County (303) 665-9549
DR. EDWIN JEUNG, OD, PC
Optometrist
1044 S 88TH ST, STE. 109
LOUISVILLE, CO 80027
Boulder County (303) 666-0104
ALBERT G ECKHARDT LMT
Massage Therapist
1044 S 88TH ST, SUITE 100
LOUISVILLE, CO 80027
Boulder County (303) 665-9549
DR. CARL ELWOOD MEREDITH MD
Family Medicine
1044 S 88TH ST, SUITE 200
LOUISVILLE, CO 80027
Boulder County (303) 666-7119

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 Coal Creek Family Medicine's NPI number?

The NPI number for Coal Creek Family Medicine is 1942407622. It was assigned to this organization in the NPPES registry on June 27, 2007.

Where is Coal Creek Family Medicine located?

Coal Creek Family Medicine is located at 1044 S 88th St Ste 200, Louisville, CO 80027. The listed phone number is (303) 666-7119.

What is Coal Creek Family Medicine's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Coal Creek Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D0682380) is associated with this NPI, valid through November 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coal Creek Family Medicine was last updated on September 4, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.