Colorado Springs Internal Medicine Pc

LBN: Colorado Springs Internal Medicine Pc
Colorado Springs Internal Medicine Pc is an health care organization with primary practice located at 175 S Union Blvd Suite 350, Colorado Springs CO 80910-3113. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Colorado Springs Internal Medicine Pc can be contacted via phone (719) 633-5515, or through Bonato, Vicky L. via phone (719) 633-5515.

Contact Information

Primary practice address
175 S Union Blvd Suite 350 Colorado Springs CO 80910-3113
Phone: (719) 633-5515
Fax: (719) 471-2258
Website:
Map and Directions
Authorized official contact:
Name: Bonato, Vicky L.
Phone: (719) 633-5515

Health care specialties

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

Profile Details

NPI number 1932180304
LBN Legal business name Colorado Springs Internal Medicine Pc
DBA Doing business as
Authorized official Bonato, Vicky L.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2005
Last updated Jul 22nd, 2013 - 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 1932180304 NPPES
Colorado MEDICAID 04015269

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