Provider Demographics
NPI:1346273430
Name:NORTH COLORADO CARDIOLOGY, PC
Entity type:Organization
Organization Name:NORTH COLORADO CARDIOLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHAPEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-392-0900
Mailing Address - Street 1:1800 15TH ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-4500
Mailing Address - Country:US
Mailing Address - Phone:970-392-0900
Mailing Address - Fax:970-351-6379
Practice Address - Street 1:1800 15TH ST
Practice Address - Street 2:SUITE 310
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-4500
Practice Address - Country:US
Practice Address - Phone:970-392-0900
Practice Address - Fax:970-351-6379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC364708Medicare ID - Type Unspecified