Richard A Grossman

LBN: Richard A Grossman
Richard A Grossman is an health care organization with primary practice located at 1 Mercado St Ste 105 , Durango CO 81301-7311. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Richard A Grossman can be contacted via phone (970) 259-7679, or through Warren, Melody A via phone (970) 259-7679.

Contact Information

Primary practice address
1 Mercado St Ste 105 Durango CO 81301-7311
Phone: (970) 259-7679
Fax: (970) 382-0784
Website:
Map and Directions
Authorized official contact:
Name: Warren, Melody A
Phone: (970) 259-7679

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 20447 Colorado

Profile Details

NPI number 1194989913
LBN Legal business name Richard A Grossman
DBA Doing business as
Authorized official Warren, Melody A
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2008
Last updated Jul 10th, 2008 - about 17 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 1194989913 NPPES
Colorado MEDICAID 04016457

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