Blue Spruce Pharmacy At Independence
LBN: Jefferson Center For Mental Health
Blue Spruce Pharmacy At Independence is an health care organization with primary practice located at 4851 Independence St , Wheat Ridge CO 80033-6715. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Jefferson Center For Mental Health can be contacted via phone (303) 432-5725, or through Hansmeier, Jacob via phone (303) 432-5725.
Contact Information
Primary practice address
4851 Independence St
Wheat Ridge CO 80033-6715
Phone: (303) 432-5725
Fax: (303) 432-5724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 1680000103 | Colorado |
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1013373679 |
|---|---|
| LBN Legal business name | Jefferson Center For Mental Health |
| DBA Doing business as | Blue Spruce Pharmacy At Independence |
| Authorized official | Hansmeier, Jacob |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 12th, 2016 |
| Last updated | Aug 18th, 2021 - 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 | 1013373679 | NPPES |
| Colorado | MEDICAID | 04680057 | |
| Colorado | Other | 2157466 |
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