Parkview Adult Medicine Clinic

LBN: Parkview Ancillary Services
Parkview Adult Medicine Clinic is an health care organization with primary practice located at 311 West 14Th Street , Pueblo CO 81003-2710. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as the primary health care specialty. Parkview Ancillary Services can be contacted via phone (719) 595-7585, or through Smith, Darrin R via phone (719) 584-4290.

Contact Information

Primary practice address
311 West 14Th Street Pueblo CO 81003-2710
Phone: (719) 595-7585
Fax: (719) 595-7589
Website:
Map and Directions
Authorized official contact:
Name: Smith, Darrin R
Phone: (719) 584-4290

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X

Profile Details

NPI number 1104462597
LBN Legal business name Parkview Ancillary Services
DBA Doing business as Parkview Adult Medicine Clinic
Authorized official Smith, Darrin R
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 21st, 2019
Last updated Feb 1st, 2022 - about 2 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 1104462597 NPPES
Colorado MEDICAID 12701378

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