Colorado Facial Plastic Surgery Center Inc

LBN: Colorado Facial Plastic Surgery Center Inc
Colorado Facial Plastic Surgery Center Inc is an health care organization with primary practice located at 3600 S Logan St Suite 100, Englewood CO 80113-3766. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Colorado Facial Plastic Surgery Center Inc can be contacted via phone (303) 839-7980, or through Imola, Mario J via phone (303) 839-7980.

Contact Information

Primary practice address
3600 S Logan St Suite 100 Englewood CO 80113-3766
Phone: (303) 839-7980
Fax: (303) 839-7936
Website:
Map and Directions
Authorized official contact:
Name: Imola, Mario J MD, DDS
Phone: (303) 839-7980

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 38335 Colorado

Profile Details

NPI number 1114068376
LBN Legal business name Colorado Facial Plastic Surgery Center Inc
DBA Doing business as
Authorized official Imola, Mario J MD, DDS
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated Mar 1st, 2016 - about 9 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 1114068376 NPPES
Colorado Other IM642698 BCBS
Colorado MEDICAID 08671281 BCBS

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