Mesa Developmental Services

LBN: Mesa Developmental Services
Mesa Developmental Services is an health care organization with primary practice located at 3301 Laurel Ln , Clifton CO 81520-8123. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Mesa Developmental Services can be contacted via phone (970) 434-9738, or through Bergquist, Christopher Brandon via phone (970) 256-8603.

Contact Information

Primary practice address
3301 Laurel Ln Clifton CO 81520-8123
Phone: (970) 434-9738
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bergquist, Christopher Brandon
Phone: (970) 256-8603

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1013570571
LBN Legal business name Mesa Developmental Services
DBA Doing business as
Authorized official Bergquist, Christopher Brandon
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2019
Last updated Jan 23rd, 2020 - about 5 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 1013570571 NPPES
Colorado MEDICAID 09140021

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