| Organization Name: | FRONT RANGE URGENT CARE, PC |
| NPI Number: | 1306269261 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NIKKI KYLE (PRACTICE MANAGER) |
| Mailing Address: | 6908 Mesa Ridge Pkwy Fountain |
| State: | CO US |
| Postal Code: | 808171533 |
| Phone Number: | 7194712273 |
| Fax Number: | 7193800228 |
| NPI Enumeration Date: | 01/29/2014 |
| NPI Last Update Date: | 02/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 49109 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |