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

Legacy Primary Care

Organization Primary Care Clinic/Center · NPI 1841090735

Legacy Primary Care is a Primary Care Clinic/Center in Northglenn, Colorado. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

11990 Grant St Ste 110
Northglenn, CO 80233-1122
Phone: (720) 928-0244
Fax: (720) 928-0247
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1841090735
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deric Rachjaibun — Owner · (720) 928-0244
NPI enumeratedMarch 18, 2025
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025
Mailing address11990 Grant St Ste 110, Northglenn, CO 80233-1122

Other providers in Northglenn