Organization
FORT MORGAN MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA HEPWORTH (BUSINESS MANAGER)
(970) 867-5681
Entity
Organization
Contact information
Practice address
102 W 9TH AVE, FORT MORGAN, CO 80701-2012
(970) 867-5681
(970) 867-7361
Mailing address
102 W 9TH AVE, FORT MORGAN, CO 80701-2012
(970) 867-5681
(970) 867-7361
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04220083
—
CO
Enumeration date
05/26/2006
Last updated
04/18/2008
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