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Organization

HOPELIGHT MEDICAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD BOWEN (EXECUTIVE DIRECTOR)
(303) 776-2625
Entity
Organization

Contact information

Practice address
1333 COLLYER ST, LONGMONT, CO 80501-3311
(303) 776-2625
Mailing address
1333 COLLYER ST, LONGMONT, CO 80501-3311
(303) 776-2625

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
261QP2300X
Primary Care Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
93633068
CO
Enumeration date
11/10/2014
Last updated
08/03/2021
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