Jefferson Center For Mental Health
LBN: Jefferson Center For Mental Health
Jefferson Center For Mental Health is an health care organization with primary practice located at 1969 Miner Street , Idaho Springs CO 80452. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
Jefferson Center For Mental Health can be contacted via phone (303) 425-0300, or through Goff, David A via phone (303) 432-5164.
Contact Information
Primary practice address
1969 Miner Street
Idaho Springs CO 80452
Phone: (303) 425-0300
Fax: (303) 567-3132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 150413 | Colorado |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1740586189 |
|---|---|
| LBN Legal business name | Jefferson Center For Mental Health |
| DBA Doing business as | |
| Authorized official | Goff, David A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 2nd, 2011 |
| Last updated | Dec 15th, 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 | 1740586189 | NPPES |
| Colorado | MEDICAID | 9000163761 |
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