SOUTHEAST MENTAL HEALTH SERVICES (NPI# 1184265985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184265985 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST MENTAL HEALTH SERVICES |
| Practice Address |
101 E Lowell St Eads CO 81036-9683 |
| Mailing Address |
711 Barnes Ave La Junta CO 81050-2138 |
| Practice Telephone | 7193845446 |
| Practice Fax Number | 7193845672 |
| Mailing Telephone | 7193845446 |
| Mailing Fax Number | 7193845672 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |
| Authorized Official Name | CAROL A ARAGON (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 7193835408 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 15880052 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386280907 | Southeast Mental Health Services | Clinic/Center | 910 W 3rd St, La Junta, CO 81050-1315 | 2019-11-19 |
| 1033752928 | Southeast Mental Health Services | Clinic/Center | 613 Barnes Ave, La Junta, CO 81050-2136 | 2019-10-23 |
| 1699317867 | Southeast Mental Health Services | Clinic/Center | 963 Elm Ave, Rocky Ford, CO 81067-1335 | 2019-10-09 |
| 1437791605 | Southeast Mental Health Services | Clinic/Center | 113 W Elm St, Lamar, CO 81052-2701 | 2019-10-09 |
| 1801438056 | Southeast Mental Health Services | Clinic/Center | 117 W Elm St, Lamar, CO 81052-2701 | 2019-10-09 |
| 1316589567 | Southeast Mental Health Services | Clinic/Center | 721 Barnes Ave, La Junta, CO 81050 | 2019-10-09 |
| 1417945254 | Southeast Mental Health Services | Clinic/Center | 711 Barnes Ave, La Junta, CO 81050-2138 | 2005-10-06 |
| 1295366177 | Southeast Mental Health Services | Clinic/Center | 711 Barnes Ave, La Junta, CO 81050-2138 | 2020-01-30 |
| 1942843834 | Southeast Mental Health Services | Clinic/Center | 214 Ash St, La Junta, CO 81050-9598 | 2019-10-23 |
| 1558903708 | Southeast Mental Health Services | Clinic/Center | 302 Barnes Ave, La Junta, CO 81050-1329 | 2019-10-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | SOUTHEAST MENTAL HEALTH SERVICES | 711 Barnes Ave, La Junta, CO 81050 |
| Street Address |
101 E LOWELL ST |
| City | EADS |
| State | CO |
| Zip Code | 81036-9683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710528500 | Southeast Wellness Works | Community/Behavioral Health | 101 E Lowell St, Eads, CO 81036-9683 | 2019-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326488982 | Prairie Pines | Assisted Living Facility | 101 E Lowell Ave, Eads, CO 81036 | 2013-06-27 |
| 1053436220 | Kiowa County Dept of Social Services | Bus | 1307 Maine St., Eads, CO 81036 | 2007-03-20 |
| 1538235841 | Kiowa Home Health Services | Home Health | 311 W 12th St, Eads, CO 81036 | 2006-11-28 |
| 1659464709 | County of Kiowa Hospital District | Clinic/Center | 1211 Luther St, Eads, CO 81036 | 2006-10-02 |
| 1366452732 | County of Kiowa Hospital District | General Acute Care Hospital | 1208 Luther Street, Eads, CO 81036 | 2006-08-09 |
| 1700413895 | Michael Briggs Archer Sr. | Nurse Practitioner | 1208 Luther Street, Eads, CO 81036 | 2020-03-26 |
| 1013422310 | Jessica Rayleen Hyman | Nurse Practitioner | 1211 Luther Street, Eads, CO 81036 | 2017-12-08 |
| 1679917207 | County of Kiowa Hospital District | Nursing Facility/Intermediate Care Facility | 1208 Luther St, Eads, CO 81036 | 2013-04-25 |
| 1700115938 | County of Kiowa Hospital District | General Practice | 1208 Luther Street, Eads, CO 81036 | 2009-12-17 |
| 1265695993 | Kiowa County Hospital District | Family Medicine | 1211 Luther Street, Eads, CO 81036 | 2008-07-02 |
| Find all providers in zip 81036 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225336 | Wellcova Health Services | Clinic/Center | 90 Madison St Ste 703, Denver, CO 80206-5416 | 2020-11-04 |
| 1053911354 | Midwestern Colorado Mental Health Center | Clinic/Center | 214 6th St., Suite 4, Crested Butte, CO 81224 | 2020-10-27 |
| 1780284083 | Midwestern Colorado Mental Health Center | Clinic/Center | 238 E. Colorado Ave, Suite 9, Telluride, CO 81435 | 2020-10-27 |
| 1023625621 | Spanish Clinic LLC | Clinic/Center | 1400 Dayton St, Aurora, CO 80010-3233 | 2020-09-28 |
| 1477160083 | Spanish Clinic LLC | Clinic/Center | 12445 E 39th Ave Unit 207, Denver, CO 80239-3454 | 2020-09-28 |
| 1457966228 | Community Reach Center, Inc | Clinic/Center | 11275 Highline Dr, Northglenn, CO 80233-3076 | 2020-09-09 |
| 1437763968 | Arapahoe Mental Health Center, Inc | Clinic/Center | 9235 Crown Crest Blvd Ste 125, Parker, CO 80138-8880 | 2020-09-02 |
| 1528671880 | Natural Embodiment LLC | Clinic/Center | 640 Arapahoe Ave Apt 6, Boulder, CO 80302-5920 | 2020-08-26 |
| 1457963514 | Summitstone Health Partners | Clinic/Center | 810 E 10th St, Loveland, CO 80537-4946 | 2020-08-20 |
| 1558970889 | Kelley Dyer Lcsw Inc. | Clinic/Center | 4793 N Splendid Cir, Colorado Springs, CO 80917-1681 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
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| 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.