Southern Colorado Nephrology Assoc Pc

LBN: Southern Colorado Nephrology Assoc Pc
Southern Colorado Nephrology Assoc Pc is an health care organization with primary practice located at 3426 Lake Ave 120, Pueblo CO 81004-3877. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Southern Colorado Nephrology Assoc Pc can be contacted via phone (719) 561-5264, or through Giebel, Juliette via phone (719) 561-5264.

Contact Information

Primary practice address
3426 Lake Ave 120 Pueblo CO 81004-3877
Phone: (719) 561-5264
Fax: (719) 561-5272
Website:
Map and Directions
Authorized official contact:
Name: Giebel, Juliette
Phone: (719) 561-5264

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1083642144
LBN Legal business name Southern Colorado Nephrology Assoc Pc
DBA Doing business as
Authorized official Giebel, Juliette
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2006
Last updated Nov 2nd, 2007 - 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 1083642144 NPPES
Colorado MEDICAID 04006250

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