MS. CANDACE M OLGUIN


Address: 2039 E 10th St, Pueblo, CO 81001-3421
Phone: 7192509984

MS. CANDACE M OLGUIN (NPI# 1043512916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043512916
Entity Type Individual
Full Name MS. CANDACE M OLGUIN
Credential BS
Practice Address 2039 E 10th St
Pueblo
CO 81001-3421
Mailing Address 3470 Baltimore Ave
Pueblo
CO 81008-1520
Practice Telephone 7192509984
Mailing Telephone 7195619850
Enumeration Date 2010-11-29
Last Update Date 2010-11-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility 12570 CO Residential Treatment Facilities

Office Location

Street Address 2039 E 10TH ST
City PUEBLO
State CO
Zip Code 81001-3421

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588222863 1111 Bonforte Opco LLC Respite Care 855 Hunter Dr., Pueblo, CO 81001 2019-06-03
1992276026 Andrew Benjamin Basham Counselor 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 2018-12-16
1316456981 Amy R Leibli Nurse Practitioner 1080 Chinook Lane, Pueblo, CO 81001 2017-09-26
1457781262 Ron Concialdi Dentist 2037 Jerry Murphy Rd., Pueblo, CO 81001 2013-11-14
1609146950 Natasha Liette Mondragon Registered Nurse 1302 E. 5th, Pueblo, CO 81001 2012-01-04
1023303575 Malinda Lee Davis Registered Nurse 1302 E 5th, Pueblo, CO 81001 2011-06-13
1679876429 Michael Edward Leyba Substance Abuse Rehabilitation Facility 4 Montebello Rd., Pueblo, CO 81001 2010-12-17
1609008796 Laura Ann Mcmahon Nurse Practitioner 4020 Jerry Murphy Rd/, Pueblo, CO 81001 2009-08-21
1730380882 Corrine Stella Tafoya Counselor 44 Calhoun Rd, Pueblo, CO 81001 2007-05-29
1518171008 George Henry Beck Dentist 1700 N Salem Ave, Suite A, Pueblo, CO 81001 2007-05-10
Find all providers in zip 81001

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619308350 Greg Carbajal Substance Abuse Rehabilitation Facility 1625 Gaylord Ave, Pueblo, CO 81004-2660 2013-12-05
1487935144 Southern Colorado Comprehensive Court Services Substance Abuse Rehabilitation Facility 200 W B St Ste 226, Pueblo, CO 81003-3574 2011-09-07
1679876429 Michael Edward Leyba Substance Abuse Rehabilitation Facility 4 Montebello Rd., Pueblo, CO 81001 2010-12-17
1316909732 Crossroads' Turning Points Substance Abuse Rehabilitation Facility 509 E 13th St Bldg B, Pueblo, CO 81001-2940 2006-04-03
1831543248 Christopher Romero Substance Abuse Rehabilitation Facility 509 E 13th St, Pueblo, CO 81001-2940 2016-04-21
1447533609 Crossroads Turning Points Substance Abuse Rehabilitation Facility 1711 E Evans Ave, 4 Montelbello Road, Pueblo, CO 81004-3349 2011-09-23
1619272754 Crossroads' Turning Points, Inc. Substance Abuse Rehabilitation Facility 509 E 13th St, A-wm, Pueblo, CO 81001-2940 2011-01-21
1710282017 Crossroads' Turning Points, Inc. Substance Abuse Rehabilitation Facility 3500 Baltimore Ave, Pueblo, CO 81008-1543 2011-01-18
1861729659 Tara Smith Substance Abuse Rehabilitation Facility 3470 Baltimore Ave, Pueblo, CO 81008-1520 2009-11-16
1770819393 John Ryan Vialpando Substance Abuse Rehabilitation Facility 3470 Baltimore Ave, Pueblo, CO 81008-1520 2009-11-02
Find all providers in PUEBLO

Competitor

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City PUEBLO
Zip Code 81001

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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