Blue Sage Medical Corporation

LBN: Blue Sage Medical Corporation
Blue Sage Medical Corporation is an health care organization with primary practice located at 615 Fairhurst St , Sterling CO 80751-4523. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is the primary health care specialty. Blue Sage Medical Corporation can be contacted via phone (970) 522-0122, or through Labrecque, Lori via phone (702) 453-3799.

Contact Information

Primary practice address
615 Fairhurst St Sterling CO 80751-4523
Phone: (970) 522-0122
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Labrecque, Lori
Phone: (702) 453-3799

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR30054726 Colorado
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X DR30054726 Colorado

Profile Details

NPI number 1053799171
LBN Legal business name Blue Sage Medical Corporation
DBA Doing business as
Authorized official Labrecque, Lori
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2015
Last updated May 8th, 2015 - about 10 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 1053799171 NPPES
Colorado Other DR30054726 CO LICENSE
Colorado Other M12236 CO LICENSE

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