FRONT RANGE CLINIC INC.
NPI 1972190163
Family Medicine - Addiction Medicine in Fort Collins, CO

NPI Status: Active since December 22, 2020

Contact Information

1120 E ELIZABETH ST STE G2
FORT COLLINS, CO
ZIP 80524
Phone: (970) 493-9193

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  • Organization
  • Family Medicine
  • Addiction Medicine
  • CLIA Number: 06D2191240
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-24-2026

About FRONT RANGE CLINIC INC.

This page provides the complete NPI Profile along with additional information for Front Range Clinic Inc., a provider established in Fort Collins, Colorado operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1972190163 assigned on December 2020. The practitioner's primary taxonomy code is 207QA0401X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Front Range Clinic Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Clark Steven Mccoy Md (President)

NPI
1972190163
Provider Name
FRONT RANGE CLINIC INC.
Entity Type
Organization
Location Address
1120 E ELIZABETH ST STE G2 FORT COLLINS, CO 80524
Location Phone
(970) 493-9193
Mailing Address
1120 E ELIZABETH ST STE G2 FORT COLLINS, CO 80524
Mailing Phone
(970) 493-9193
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-22-2020
Last Update Date
12-22-2020
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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 Addiction Medicine

Taxonomy Code
207QA0401X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A family medicine physician who specializes in the diagnosis and treatment of addictions.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 

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

CLARK STEVEN MCCOY MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(970) 493-9193

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
06D2191240
Facility Type
Physician Office
Certificate Effective Date
August 25, 2024
Certificate Expiration Date
August 24, 2026
Laboratory Director
DR. CLARK S. MCCOY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Front Range Clinic Inc. 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 1972190163, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
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 7 → 14 → 5 1 → 2 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 2 + 9 + 0 + 1 + 1 + 2 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1972190163.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Family Medicine (Addiction Medicine)
1120 E ELIZABETH ST STE G2
FORT COLLINS, CO 80524
Internal Medicine
1120 E ELIZABETH ST STE G2
FORT COLLINS, CO 80524
Physician Assistant
1120 E ELIZABETH ST STE G2
FORT COLLINS, CO 80524
Family Medicine (Addiction Medicine)
1120 E ELIZABETH ST STE G2
FORT COLLINS, CO 80524
Physician Assistant
1120 E ELIZABETH ST STE G2
FORT COLLINS, CO 80524
Social Worker (Clinical)
1120 E ELIZABETH ST STE G2
FORT COLLINS, CO 80524
Physician Assistant
1120 E ELIZABETH ST STE G2
FORT COLLINS, CO 80524

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972190163, enumerated as an "organization" on December 22, 2020.

The provider is located at 1120 E ELIZABETH ST STE G2 FORT COLLINS, CO 80524 and the phone number is (970) 493-9193.

Family Medicine with taxonomy code 207QA0401X and a focus in Addiction Medicine.