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Vantage Medical INC

Clinic/Center, Multi-Specialty in Loveland, CO. Organization (NPI-2).

NPI number1801545926
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1801545926
Entity type
Organization (NPI-2)
Legal business name
Vantage Medical INC
Organization subpart
No
Enumeration date
Mar 23, 2022
Certification date
Mar 23, 2022
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM1300X Clinic/Center, Multi-Specialty––Yes

Practice location

4190 N Garfield Ave Ste 2
Loveland, CO 80538-2241

Phone 907-663-2273

Mailing address

4190 N Garfield Ave Ste 2
Loveland, CO 80538-2241

Phone 907-663-2273

Authorized official

Shane Jeffery Countryman
Owner
9706632273

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