Organization Name: | LONGMONT UNITED HOSPITAL |
NPI Number: | 1598932279 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MITCHELL CARSON (PRESIDENT/CEO) |
Mailing Address: | 1950 W Mountain View Ave Longmont |
State: | CO US |
Postal Code: | 805013129 |
Phone Number: | 3036515111 |
Fax Number: | |
NPI Enumeration Date: | 05/13/2008 |
NPI Last Update Date: | 04/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |