Organization
NEW BELGIUM BREWING COMPANY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVELYN JUNE TYRRELL (BENEFITS ADMINISTRATOR)
(970) 494-7801
Entity
Organization
Contact information
Practice address
702A W DRAKE RD, FORT COLLINS, CO 80526-5521
(970) 229-4653
Mailing address
500 LINDEN ST, FORT COLLINS, CO 80524-2457
(970) 221-0524
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
35548
CO
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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