Origin Healthcare, LLC
Hospitalist in Fort Collins, CO. Organization (NPI-2).
NPI number1982206173
StatusActive
Last updated in NPPESJun 29, 2021
Details
- NPI
- 1982206173
- Entity type
- Organization (NPI-2)
- Legal business name
- Origin Healthcare, LLC
- Organization subpart
- No
- Enumeration date
- Nov 12, 2020
- Certification date
- Jun 29, 2021
- Last updated
- Jun 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Practice location
1001a E Harmony Rd # 308Fort Collins, CO 80525-3354
Phone 888-777-2718
Mailing address
1001a E Harmony Rd # 308Fort Collins, CO 80525-3354
Authorized official
Christine M. Lum Lung
Owner
8887772718
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