Mission Possible

LBN: Mission Possible
Mission Possible is an health care organization with primary practice located at 1520 N Union Blvd Ste 204 , Colorado Springs CO 80909-2840. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as the primary health care specialty. Mission Possible can be contacted via phone (719) 635-9100, or through Johnson, Palmer via phone (719) 492-9100.

Contact Information

Primary practice address
1520 N Union Blvd Ste 204 Colorado Springs CO 80909-2840
Phone: (719) 635-9100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Palmer
Phone: (719) 492-9100

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1982242970
LBN Legal business name Mission Possible
DBA Doing business as
Authorized official Johnson, Palmer
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2019
Last updated Dec 20th, 2019 - 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 1982242970 NPPES
Colorado MEDICAID 9000156387

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