# PLATTE VALLEY MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
- **Other names:** Intermountain Health Brighton Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275283574
- **Legal business name:** BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
- **Authorized official:** JON MCDANIEL (VP FINANCE)
- **Authorized official phone:** (303) 272-0231

## Contact information

- **Practice address:** 217 N 50TH AVE, BRIGHTON, CO 80601-8364
- **Practice address phone:** (303) 659-1152
- **Practice address fax:** (720) 685-0027
- **Mailing address:** 500 ELDORADO BLVD STE 4300, BROOMFIELD, CO 80021-3564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/28/2022
- **Last updated:** 05/15/2023