NPI 1437471554

Functional Health Center LLC

Organisation Point of Service Longmont, CO

Practice location

Address: 1600 Hover St Suite C1, Longmont, CO 80501-2462
Phone: (303) 678-1979

Authorised official

Name: Jared Wayne Allomong
Title: Officer
Phone: (303) 678-1979

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 6140 (CO)

Other Point of Service providers in Colorado →

Registry record

NPI: 1437471554
Entity type: Organization
NPI issued: 16 Feb 2010
Record last updated: 16 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.