# BIG THOMPSON MEDICAL GROUP INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BIG THOMPSON MEDICAL GROUP, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275823510
- **Legal business name:** BIG THOMPSON MEDICAL GROUP, INC
- **Authorized official:** DENNIS E DAHLEN (SR VP FINANCE)
- **Authorized official phone:** (602) 747-4000

## Contact information

- **Practice address:** 1813 CHEYENNE AVE, LOVELAND, CO 80538-4244
- **Practice address phone:** (970) 203-6801
- **Practice address fax:** (970) 203-6821
- **Mailing address:** 1627 E 18TH ST, LOVELAND, CO 80538-4209
- **Mailing address phone:** (970) 663-0135
- **Mailing address fax:** (970) 461-1422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/07/2011
- **Last updated:** 04/27/2011