EMERALD MOUNTAIN INC (NPI# 1912275033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912275033 |
Entity Type | Organization |
Organization Name | EMERALD MOUNTAIN INC |
Other Organization Name | EMERALD MOUNTAIN MASSAGE THERAPY |
Practice Address |
108 E Cheyenne Rd #202 Colorado Springs CO 80906-2504 |
Practice Telephone | 7192055114 |
Practice Fax Number | 7194751880 |
Mailing Telephone | 7192055114 |
Mailing Fax Number | 7194751880 |
Enumeration Date | 2011-12-03 |
Last Update Date | 2016-03-31 |
Authorized Official Name | MS. DEBRA J WALKER (PRESIDENT) |
Authorized Official Telephone | 7192055114 |
Authorized Official Credential | LMT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
2531 | CO | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Emerald Mountain Massage Therapy | Doing Business As Name - Organization |
Street Address |
108 E CHEYENNE RD #202 |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80906-2504 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093297780 | Eronilde Chaves Buckley | Counselor | 108 E Cheyenne Rd, Colorado Springs, CO 80906-2504 | 2018-08-30 |
1548623226 | Family Rocs | Social Worker | 108 E Cheyenne Rd, Ste 200, Colorado Springs, CO 80906-2504 | 2016-03-31 |
1689002966 | Mending Hearts Family Counseling, LLC | Community/Behavioral Health | 108 E Cheyenne Rd, Suite 207, Colorado Springs, CO 80906-2504 | 2013-10-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
1730720541 | Amanda Salinas | Massage Therapist | 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 | 2019-10-02 |
1225511488 | Sheila Meggison | Massage Therapist | 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 | 2018-09-12 |
1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
1982103875 | Savannah Adeline Rentrop | Behavior Technician | 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 | 2018-02-06 |
1205335288 | Ross Knowlton | Behavior Technician | 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 | 2018-02-06 |
1942709845 | Adrienne Bohlen | Behavior Technician | 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 | 2018-02-06 |
1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
1225568470 | Larry Alwine | Counselor | 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 | 2017-06-19 |
Find all providers in zip 80906 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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1407258353 | Premier Acupuncture Clinic | Clinic/Center | 2812 W Colorado Ave Ste 104, Colorado Springs, CO 80904-2481 | 2014-09-23 |
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1801922943 | Wood Chiropractic Clinic, Inc. | Clinic/Center | 5430 A Powers Center Pt., Colorado Springs, CO 80920-7154 | 2007-02-25 |
1952944761 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 402 W Bijou St, Colorado Springs, CO 80905-1309 | 2019-10-24 |
1750924569 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 4083 Austin Bluffs Pkwy, Colorado Springs, CO 80918-5904 | 2019-10-24 |
1568819472 | Springs Midwifery and Women's Care, LLC | Clinic/Center | 5028 Galloping Goose Way, Colorado Springs, CO 80924-2915 | 2016-05-20 |
1225449283 | Waggoner Chiropractic Health Center, LLC | Clinic/Center | 824 E Fillmore St, Colorado Springs, CO 80907-6375 | 2014-05-13 |
1598193898 | Hormone Health and Weight Loss | Clinic/Center | 1465 Kelly Johnson Blvd, Suite 320, Colorado Springs, CO 80920-3955 | 2013-10-23 |
1043515505 | Back In Action Chiropractic LLC | Clinic/Center | 824 E Fillmore St, Colorado Springs, CO 80907-6375 | 2011-01-14 |
1689806697 | Oriental Medicine LLC | Clinic/Center | 2812 W Colorado Ave, Suite 104, Colorado Springs, CO 80904-2470 | 2009-08-10 |
Find all providers in COLORADO SPRINGS |
City | COLORADO SPRINGS |
Zip Code | 80906 |
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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.