Southern Colorado Developmental Disabilities Services, Inc

LBN: Southern Colorado Developmental Disabilities Services, Inc
Southern Colorado Developmental Disabilities Services, Inc is an health care organization with primary practice located at 415 S Indiana Ave , Trinidad CO 81082. The organization recently has 5 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Agencies / Case Management, Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Rehabilitation. Agencies / Early Intervention Provider Agency is the primary health care specialty. Southern Colorado Developmental Disabilities Services, Inc can be contacted via phone (719) 846-4400, or through Roy, Duane via phone (719) 846-3391.

Contact Information

Primary practice address
415 S Indiana Ave Trinidad CO 81082
Phone: (719) 846-4400
Fax: (719) 846-4543
Website:
Map and Directions
Authorized official contact:
Name: Roy, Duane
Phone: (719) 846-3391

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Agencies / Case Management 251B00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1982142188
LBN Legal business name Southern Colorado Developmental Disabilities Services, Inc
DBA Doing business as
Authorized official Roy, Duane
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2017
Last updated Jan 9th, 2020 - about 4 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 1982142188 NPPES
Colorado MEDICAID 09140070

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