1444 N. 23Rd St
LBN: Mesa Developmental Services
1444 N. 23Rd St is an health care organization with primary practice located at 1444 N 23Rd St , Grand Junction CO 81501-6546. The organization recently has only one registered license in Residential Treatment Facilities / Community Based 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) 254-9378, or through Bergquist, Christopher Brandon via phone (970) 256-8603.
Contact Information
Primary practice address
1444 N 23Rd St
Grand Junction CO 81501-6546
Phone: (970) 254-9378
Fax: (970) 255-6462
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X |
Profile Details
NPI number | 1083177315 |
---|---|
LBN Legal business name | Mesa Developmental Services |
DBA Doing business as | 1444 N. 23Rd St |
Authorized official | Bergquist, Christopher Brandon AO |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 12th, 2019 |
Last updated | Aug 30th, 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 | 1083177315 | NPPES |
Colorado | MEDICAID | 76135098 |
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