Parkview Ancillary Group Family Practice Mob

LBN: Parkview Ancillary Services
Parkview Ancillary Group Family Practice Mob is an health care organization with primary practice located at 1600 N. Grand Ave. Ste. 260, Pueblo CO 81003-2729. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as the primary health care specialty. Parkview Ancillary Services can be contacted via phone (719) 562-2010, or through Smith, Darrin R via phone (719) 584-4290.

Contact Information

Primary practice address
1600 N. Grand Ave. Ste. 260 Pueblo CO 81003-2729
Phone: (719) 562-2010
Fax: (719) 562-2097
Website:
Map and Directions
Authorized official contact:
Name: Smith, Darrin R
Phone: (719) 584-4290

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X

Profile Details

NPI number 1871137158
LBN Legal business name Parkview Ancillary Services
DBA Doing business as Parkview Ancillary Group Family Practice Mob
Authorized official Smith, Darrin R
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 30th, 2019
Last updated Feb 8th, 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 1871137158 NPPES
Colorado MEDICAID 9000145705

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