Organization
LONGMONT UNITED HOSPITAL
Active
Other names
United Medical Center of Berthoud
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL CARSON (CEO)
(303) 651-5024
Entity
Organization
Contact information
Practice address
549 MOUNTAIN AVENUE, BERTHOUD, CO 80513
(970) 532-4644
(970) 532-0608
Mailing address
1950 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3129
(303) 651-5111
(303) 678-4050
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
0931
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05020011
—
CO
Enumeration date
07/21/2006
Last updated
05/04/2009
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