Bal Swan Children'S Center

LBN: Bal Swan Children'S Center
Bal Swan Children'S Center is an health care organization with primary practice located at 1145 E 13Th Ave , Broomfield CO 80020-1301. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is the primary health care specialty. Bal Swan Children'S Center can be contacted via phone (303) 466-6308, or through Conly, Brian Scott via phone (303) 466-6308.

Contact Information

Primary practice address
1145 E 13Th Ave Broomfield CO 80020-1301
Phone: (303) 466-6308
Fax: (303) 466-1224
Website:
Map and Directions
Authorized official contact:
Name: Conly, Brian Scott
Phone: (303) 466-6308

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X

Profile Details

NPI number 1548479561
LBN Legal business name Bal Swan Children'S Center
DBA Doing business as
Authorized official Conly, Brian Scott
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated Jun 24th, 2008 - about 16 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 1548479561 NPPES
Colorado MEDICAID 08103747

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