Jandyco, Llc
LBN: Jandyco, Llc
Jandyco, Llc is an health care organization with primary practice located at 509 Colorado Ave Ste C , Pueblo CO 81004-2008. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty.
Jandyco, Llc can be contacted via phone (719) 696-9828, or through Pollock, Jamie M via phone (719) 214-2005.
Contact Information
Primary practice address
509 Colorado Ave Ste C
Pueblo CO 81004-2008
Phone: (719) 696-9828
Fax: (719) 696-9862
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 44011 | Colorado |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 44011 | Colorado |
Profile Details
| NPI number | 1346586088 |
|---|---|
| LBN Legal business name | Jandyco, Llc |
| DBA Doing business as | |
| Authorized official | Pollock, Jamie M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 28th, 2012 |
| Last updated | Jul 21st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346586088 | NPPES |
| Colorado | MEDICAID | 29732581 |
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