Adult Medicine Specialists Pc

LBN: Adult Medicine Specialists Pc
Adult Medicine Specialists Pc is an health care organization with primary practice located at 314 W 16Th St , Pueblo CO 81003-2728. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Adult Medicine Specialists Pc can be contacted via phone (719) 546-3511, or through Prutch, Sally K via phone (719) 546-3511.

Contact Information

Primary practice address
314 W 16Th St Pueblo CO 81003-2728
Phone: (719) 546-3511
Fax: (719) 583-1292
Website:
Map and Directions
Authorized official contact:
Name: Prutch, Sally K
Phone: (719) 546-3511

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23565 Colorado

Profile Details

NPI number 1316162464
LBN Legal business name Adult Medicine Specialists Pc
DBA Doing business as
Authorized official Prutch, Sally K
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2007
Last updated Jun 13th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316162464 NPPES
Colorado MEDICAID 04004313

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