Amistad Of San Luis, Inc

LBN: Amistad Of San Luis, Inc
Amistad Of San Luis, Inc is an health care organization with primary practice located at 403 Main Street , San Luis CO 81152-0674. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Amistad Of San Luis, Inc can be contacted via phone (719) 672-0892, or through Funk, Judith Ann via phone (719) 588-9903.

Contact Information

Primary practice address
403 Main Street San Luis CO 81152-0674
Fax: (719) 672-0892
Website:
Authorized official contact:
Name: Funk, Judith Ann

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1831557917
LBN Legal business name Amistad Of San Luis, Inc
DBA Doing business as
Authorized official Funk, Judith Ann
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2016
Last updated Feb 4th, 2016 - about 8 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 1831557917 NPPES
Colorado MEDICAID 68058217

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