EDGE MEDICAL SERVICES (NPI# 1366980682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366980682 |
| Entity Type | Organization |
| Organization Name | EDGE MEDICAL SERVICES |
| Practice Address |
152 West Colorado Ave Colorado Springs CO 80903 |
| Mailing Address |
1141 N Loop 1604 E # 105187 San Antonio TX 78232-1339 |
| Practice Telephone | 8003484623 |
| Mailing Telephone | 8003484623 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2020-04-15 |
| Authorized Official Name | REAGAN ROBERTS (ADMIN) |
| Authorized Official Telephone | 8003484623 |
| Is Organization Subpart | Y |
| Parent Organization Name | EDGE MEDICAL SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477070555 | Edge Medical Services | Clinic/Center | 881 Terrace 49, Los Angeles, CA 90042-3149 | 2017-08-29 |
| 1851818934 | Edge Medical Services | Clinic/Center | 23548 Lyons Ave Ste B, Newhall, CA 91321-5782 | 2017-08-29 |
| 1609307529 | Edge Medical Services | Clinic/Center | 617 N 17th St Ste 200, Colorado Springs, CO 80904-3580 | 2017-03-22 |
| 1457891418 | Edge Medical Services | Clinic/Center | W4456 Highway 63, Springbrook, WI 54875-9421 | 2017-02-24 |
| 1063951176 | Edge Medical Services | Clinic/Center | 2406 Hughitt Ave, Superior, WI 54880-4944 | 2017-02-22 |
| 1477091783 | Edge Medical Services | Clinic/Center | 8720 Anglewood Ct, Colorado Springs, CO 80920-5347 | 2017-02-07 |
| 1205372935 | Edge Medical Services | Clinic/Center | 8976 Jenkins Rd, Cotton, MN 55724-8017 | 2017-01-19 |
| 1407307994 | Edge Medical Services | Clinic/Center | 1845 Rd 604, Farmersville, TX 75442-6605 | 2016-10-19 |
| 1003367681 | Edge Medical Services | Clinic/Center | 545 S 670 E, Orem, UT 84097-6453 | 2016-10-19 |
| 1487105052 | Edge Medical Services | Clinic/Center | 170 W Ohio St, Van, TX 75790-2504 | 2016-10-19 |
| Street Address |
152 WEST COLORADO AVE |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1144855321 | Quinn Macdonald | Specialist/Technologist | 1332 N Weber Street, Colorado Springs, CO 80903 | 2020-03-08 |
| 1043784994 | Neuro Peak Performance, LLC | Counselor | 801 N. Weber St Suite 101, Colorado Springs, CO 80903 | 2019-01-14 |
| 1356828297 | Heart of The Phoenix, LLC | Social Worker | 1422 N Hancock Ave Ste 1, Colorado Springs, CO 80903 | 2018-07-24 |
| 1699269290 | Jenevieve Marie Briand | Day Training/Habilitation Specialist | 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 | 2018-06-18 |
| 1669983292 | Robin Dina Shankman | Massage Therapist | 127 E. Las Animas, Colorado Springs, CO 80903 | 2017-10-23 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| 1093267890 | Brittany Nicole Holmes | Behavioral Analyst | 938 S Sierra Madre, Colorado Springs, CO 80903 | 2016-10-27 |
| 1326598376 | Tracy Burkhart | Counselor | 303 E Costilla Street, Ste 22, Colorado Springs, CO 80903 | 2016-10-13 |
| Find all providers in zip 80903 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235127 | Matthews-vu Medical Group, P.C. | Clinic/Center | 4190 E Woodmen Rd Ste 230, Colorado Springs, CO 80920-8075 | 2020-11-06 |
| 1811596497 | Eye Associates of Colorado Springs, PC | Clinic/Center | 7075 Campus Dr Ste 100, Colorado Springs, CO 80920-6524 | 2020-10-23 |
| 1609400407 | Pure Healthcare of Colorado LLC | Clinic/Center | 320 E Fontanero St Ste 103, Colorado Springs, CO 80907-7535 | 2020-03-02 |
| 1568933380 | Community Birth Group | Clinic/Center | 7710 N Union Blvd Ste 204b, Colorado Springs, CO 80920-4030 | 2018-12-06 |
| 1477091783 | Edge Medical Services | Clinic/Center | 8720 Anglewood Ct, Colorado Springs, CO 80920-5347 | 2017-02-07 |
| 1396346516 | Matthews-vu Medical Group, P.C. | Clinic/Center | 4190 E Woodmen Rd, Colorado Springs, CO 80920-8075 | 2020-11-04 |
| 1265033526 | Matthews-vu Medical Group, P.C. | Clinic/Center | 4190 E Woodmen Rd Ste 200, Colorado Springs, CO 80920-8075 | 2020-11-03 |
| 1396359782 | Carex LLC | Clinic/Center | 2960 N Circle Dr Ste 200, Colorado Springs, CO 80909-1163 | 2020-09-02 |
| 1386256444 | Children's Hospital Colorado | Clinic/Center | 4125 Briargate Pkwy, Colorado Springs, CO 80920-7804 | 2020-08-20 |
| 1396357497 | Children's Hospital Colorado | Clinic/Center | 4125 Briargate Pkwy, Colorado Springs, CO 80920-7804 | 2020-08-19 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80903 |
Please comment or provide details below to improve the information on EDGE MEDICAL SERVICES.
| 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.