OrganizationActive
Big Tree Medical Group LLC
NPI 1063167211 · Federally Qualified Health Center (FQHC) · Denver, CO
Provider details
- NPI number
- 1063167211
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Antony Vanbang, Primary Provider(720) 323-0621
Specialties & taxonomies
Ambulatory Health Care Facilities
- Urgent Care Clinic/Center261QU0200X
Ambulatory Health Care Facilities
Practice location
1701 S Federal Blvd
Denver, CO 80219-4898
Phone: (720) 323-0621
Fax: (303) 934-4036
Approximate (ZIP-level) locationGet directions
Mailing address
1701 S Federal Blvd
Denver, CO 80219-4898
Other names (DBA / former)
- Doing business as
- Big Tree Medical Group LLC
- Doing business as
- Big Tree Medical Group LLC
Registry dates
- Enumerated
- 2022-02-16
- Last updated
- 2022-03-08
- Certified
- 2022-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.