# MOUNTAINOCCUPATIONALMEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699095190
- **Authorized official:** DR. CAROLINE MARGARET GELLRICK M.D. (PHYSICIAN)
- **Authorized official phone:** (303) 877-6113

## Contact information

- **Practice address:** 4045 WADSWORTH BLVD, SUITE \#311, WHEAT RIDGE, CO 80033-4642
- **Practice address phone:** (303) 877-6113
- **Practice address fax:** (303) 425-1661
- **Mailing address:** 2838 OLYMPIA CIR, EVERGREEN, CO 80439-8800
- **Mailing address phone:** (303) 877-6113
- **Mailing address fax:** (303) 986-3680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | 21414 | CO | — |
| 261QX0100X | Occupational Medicine Clinic/Center | 21414 | CO | Yes |

## Other

- **Enumeration date:** 06/07/2010
- **Last updated:** 06/07/2010