Organization
LONGMONT UNITED HOSPITAL
Active
Parent organization
LONGMONT UNITED HOSPITAL
Other names
Milestone Clinics
Organization subpart
Yes
Provider details
NPI number
Legal business name
LONGMONT UNITED HOSPITAL
Authorized official
MR. MITCHELL C CARSON (PRESIDENT & CEO)
(303) 651-5025
Entity
Organization
Contact information
Practice address
1950 MOUNTAIN VIEW AVE, MILESTONE CLINICS, LONGMONT, CO 80501-3129
(303) 651-5026
Mailing address
1950 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3129
(303) 651-5111
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04003158
—
CO
05
—
05003009
—
CO
05
—
18235531
—
CO
01
—
C46104
MEDICARE PART B
—
01
—
CJ6672
RAILROAD MEDICARE
CO
Enumeration date
01/13/2011
Last updated
03/09/2015
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