Front Range Clinic Inc.
NPI 1063008522 · Addiction Medicine (Family Medicine) Physician · Pueblo, CO
Front Range Clinic Inc. is a Addiction Medicine (Family Medicine) Physician organization in Pueblo, CO (NPI 1063008522).
Provider details
- NPI number
- 1063008522
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Clark Mccoy, President(970) 493-9193
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-12-17
- Last updated
- 2020-12-17
- Certified
- 2020-12-17
Frequently asked questions
- What is Front Range Clinic Inc.'s NPI number?
- Front Range Clinic Inc.'s National Provider Identifier (NPI) is 1063008522, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Front Range Clinic Inc.?
- Front Range Clinic Inc. is classified in the NPPES registry as Addiction Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Front Range Clinic Inc. located?
- Front Range Clinic Inc.'s practice location on file with NPPES is 1249 E Routt Ave, Pueblo, CO 81004-2908.
- What is Front Range Clinic Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Front Range Clinic Inc. is (720) 808-0051.
- Who is the authorized official for Front Range Clinic Inc.?
- The authorized official listed on Front Range Clinic Inc.'s NPPES record is Clark Mccoy, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Front Range Clinic Inc.'s NPI active?
- Yes — Front Range Clinic Inc.'s NPI (1063008522) is active in the NPPES registry as of the last update on 2020-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.