SOUTHERN COLORADO CLINIC PC (NPI# 1831705300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831705300 |
Entity Type | Organization |
Organization Name | SOUTHERN COLORADO CLINIC PC |
Practice Address |
109 S Burlington Dr Pueblo West CO 81007-5560 |
Mailing Address |
Po Box 9000 Pueblo CO 81008-9000 |
Practice Telephone | 7195532205 |
Mailing Telephone | 7195532200 |
Enumeration Date | 2020-09-21 |
Last Update Date | 2020-09-21 |
Authorized Official Name | KATHY LYNN KELLEY (ADMIN SERVICE COOR.) |
Authorized Official Telephone | 7195531802 |
Is Organization Subpart | Y |
Parent Organization Name | SOUTHERN COLORADO CLINIC PC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598371056 | Southern Colorado Clinic PC | Clinic/Center | 3937 Ivywood Ln, Pueblo, CO 81005-2551 | 2020-09-21 |
1285613554 | Southern Colorado Clinic PC | Clinic/Center | 3676 Parker Blvd, Pueblo, CO 81008-2212 | 2006-01-13 |
Street Address |
109 S BURLINGTON DR |
City | PUEBLO WEST |
State | CO |
Zip Code | 81007-5560 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396188322 | Hanson Clinic PC | Orthopaedic Surgery | 109 S Burlington Dr, Pueblo West, CO 81007-5560 | 2013-04-09 |
1851743025 | Hanson Clinic PC | Specialist | 109 S Burlington Dr, Pueblo West, CO 81007-5560 | 2016-07-12 |
1568875649 | Bradley Jonathan Reeves | Specialist/Technologist, Other | 109 S Burlington Dr, Pueblo West, CO 81007-5560 | 2014-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811406630 | Southern Colorado Hearing Associates, Inc. | Audiologist | 904 East Hailey Lane, Pueblo West, CO 81007 | 2017-09-25 |
1396274361 | Laura Selig | Physical Therapist | 1168 N Thorpe Dr, Pueblo West, CO 81007 | 2017-06-05 |
1710351127 | Benjamin Gaines | Speech-Language Pathologist | 1056 W Broken Bow Dr, Pueblo West, CO 81007 | 2015-11-23 |
1467861351 | Zoe Grillos | Massage Therapist | 876 S Knox Dr, Pueblo West, CO 81007 | 2014-08-05 |
1033454186 | Melissa Lynn Hollis | Occupational Therapy Assistant | 1333 N Blue Lake Ln, Pueblo West, CO 81007 | 2012-11-30 |
1336491125 | Patricia Deana Cuadrado | General Practice | 44 E. Spaulding Ave., Pueblo West, CO 81007 | 2012-10-04 |
1194088021 | Aaron J Wilson | Chiropractor | 50 S Dunlap Dr, Pueblo West, CO 81007 | 2012-06-15 |
1780811893 | Rhonda Renee Grigg | Pediatrics | 332 S Orchard Springs Dr. 150, Pueblo, CO 81007 | 2009-06-16 |
1144482191 | Christopher Nicholas Liontas | Dentist | 360 S. Orchard Springs Dr, Pueblo West, CO 81007 | 2008-07-01 |
1780855718 | Justin Dean Youngren | Chiropractor | 50 S Dunlap Drive, Pueblo West, CO 81007 | 2008-03-18 |
Find all providers in zip 81007 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295334746 | Joel Allen Miller | Clinic/Center | 2125 Norwich Dr, Colorado Springs, CO 80920-5332 | 2020-10-25 |
1649879214 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201h, Erie, CO 80516-4072 | 2020-10-23 |
1285233882 | Boulder Community Health | Clinic/Center | 4745 Arapahoe Ave Ste 201, Boulder, CO 80303-1080 | 2020-10-23 |
1700485372 | Boulder Community Health | Clinic/Center | 2101 Ken Pratt Blvd Ste 104h, Longmont, CO 80501-6568 | 2020-10-23 |
1841899416 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd Ste 216a, Lafayette, CO 80026-2089 | 2020-10-23 |
1669079794 | Springfield Chiropractic LLC | Clinic/Center | 1302 S. Shields St., Suite A1-2, Fort Collins, CO 80521-4801 | 2020-10-01 |
1508470881 | San Luis Valley Community Mental Health Center | Clinic/Center | 260 Worth Street, Center, CO 81125 | 2020-09-03 |
1285248732 | San Luis Valley Community Mental Health Center | Clinic/Center | 409 Trinchera St, San Luis, CO 81152 | 2020-09-02 |
1629689658 | Yampa Valley Medical Center | Clinic/Center | 705 Marketplace Plz Ste 250, Steamboat Springs, CO 80487-1800 | 2020-08-13 |
1841817921 | Strive Health Pa LLC | Clinic/Center | 1600 Stout St Ste 2000, Denver, CO 80202-3113 | 2020-07-06 |
Find all providers with the same taxonomy |
City | PUEBLO WEST |
Zip Code | 81007 |
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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.