Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Big Tree Medical Group LLC

Organization Federally Qualified Health Center (FQHC) · NPI 1063167211

Big Tree Medical Group LLC is a Federally Qualified Health Center (FQHC) in Denver, Colorado. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1701 S Federal Blvd
Denver, CO 80219-4898
Phone: (720) 323-0621
Fax: (303) 934-4036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1063167211
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antony Vanbang — Primary Provider · (720) 323-0621
Other names Big Tree Medical Group Llc; Big Tree Medical Group Llc
NPI enumeratedFebruary 16, 2022
Last updated in NPPESMarch 8, 2022
Certification dateMarch 2, 2022
Mailing address1701 S Federal Blvd, Denver, CO 80219-4898

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