STADIUM MEDICAL, INC.


Address: 695 Canosa Ct # B, Denver, CO 80204-4143
Phone: 3035497916

STADIUM MEDICAL, INC. (NPI# 1619279338) 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) 1619279338
Entity Type Organization
Organization Name STADIUM MEDICAL, INC.
Practice Address 695 Canosa Ct # B
Denver
CO 80204-4143
Practice Telephone 3035497916
Mailing Telephone 3035497916
Enumeration Date 2010-12-01
Last Update Date 2010-12-01
Authorized Official Name BERNIE AMES (ADMINISTRATIVE SPECIALIST)
Authorized Official Telephone 3035497916
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251K00000X Public Health or Welfare Agencies

Other Provider Identifier

State Issuer Identifier Type Code
CO 12959049 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1316108459 Stadium Medical, Inc. Ambulance 695 Canosa Ct, Denver, CO 80204-4143 2008-06-20

Office Location

Street Address 695 CANOSA CT # B
City DENVER
State CO
Zip Code 80204-4143

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Taxonomy Information

Taxonomy Code 251K00000X
Grouping Agencies
Classification Public Health or Welfare

Taxonomy Definition

Definition to come...

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1326417833 Huerfano County Dept. of Social Services Public Health or Welfare 121 W 6th St, Walsenburg, CO 81089-2201 2015-09-15
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Competitor

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City DENVER
Zip Code 80204

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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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