CASTLE VALLEY CHILDREN'S CLINIC


Address: 2615 Dolores Way Unit 103, Carbondale, CO 81623-2238
Phone: 9709843333

CASTLE VALLEY CHILDREN'S CLINIC (NPI# 1285282137) 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) 1285282137
Entity Type Organization
Organization Name CASTLE VALLEY CHILDREN'S CLINIC
Practice Address 2615 Dolores Way Unit 103
Carbondale
CO 81623-2238
Mailing Address 820 Castle Valley Blvd Ste 204
New Castle
CO 81647-9453
Practice Telephone 9709843333
Practice Fax Number 9709840293
Mailing Telephone 9709843333
Mailing Fax Number 9709840293
Enumeration Date 2019-09-03
Last Update Date 2020-01-07
Authorized Official Name JO ELLYN BRADLEY (PRACTICE MANAGER)
Authorized Official Telephone 9709843333
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics Allopathic & Osteopathic Physicians
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CO 08189731 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1578766689 Castle Valley Children's Clinic Clinic/Center 820 Castle Valley Blvd, Suite #204, New Castle, CO 81647-9480 2007-06-06

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities CASTLE VALLEY CHILDREN'S CLINIC, INC. 820 Castle Valley Blvd Ste 204, New Castle, CO 81647

Office Location

Street Address 2615 DOLORES WAY UNIT 103
City CARBONDALE
State CO
Zip Code 81623-2238

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City CARBONDALE
Zip Code 81623

Improve Information

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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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