Heritage Internal Medicine, Pc

LBN: Heritage Internal Medicine, Pc
Heritage Internal Medicine, Pc is an health care organization with primary practice located at 1925 E Orman Ave Suite A535, Pueblo CO 81004-3537. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Heritage Internal Medicine, Pc can be contacted via phone (719) 564-0450, or through Stjernholm, James R via phone (719) 564-0450.

Contact Information

Primary practice address
1925 E Orman Ave Suite A535 Pueblo CO 81004-3537
Phone: (719) 564-0450
Fax: (719) 564-1659
Website:
Map and Directions
Authorized official contact:
Name: Stjernholm, James R Doctor of Medicine (MD)
Phone: (719) 564-0450

Health care specialties

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

Profile Details

NPI number 1669681581
LBN Legal business name Heritage Internal Medicine, Pc
DBA Doing business as
Authorized official Stjernholm, James R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2007
Last updated Apr 29th, 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 1669681581 NPPES
Colorado Other CN4621 RAILROAD MEDICARE
Colorado MEDICAID 04021622 RAILROAD MEDICARE

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