Sample Services

LBN: Sample Services
Sample Services is an health care organization with primary practice located at 606 Mountain View Ave , Longmont CO 80501-2779. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. Sample Services can be contacted via phone (720) 684-6309, or through Sample, Carmen via phone (303) 523-8057.

Contact Information

Primary practice address
606 Mountain View Ave Longmont CO 80501-2779
Phone: (720) 684-6309
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sample, Carmen Licensed Clinical Social Worker (LCSW)
Phone: (303) 523-8057

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X

Profile Details

NPI number 1700245578
LBN Legal business name Sample Services
DBA Doing business as
Authorized official Sample, Carmen Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2016
Last updated Jan 31st, 2023 - about last year

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 1700245578 NPPES
Colorado MEDICAID 95109587

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