OrganizationActive
4 Active Health Inc
NPI 1467909804 · Health Service Clinic/Center · Longmont, CO
Provider details
- NPI number
- 1467909804
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jonathan Shum, President
Practice location
1225 Ken Pratt Blvd
Suite 222
Longmont, CO 80501-6518
Phone: (303) 772-3100
Mailing address
1225 Ken Pratt Blvd
Longmont, CO 80501-6518
Registry dates
- Enumerated
- 2016-09-01
- Last updated
- 2021-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.