Minnequa Medicenter
LBN: Ssc Pueblo Operating Company Llc
Minnequa Medicenter is an health care organization with primary practice located at 2701 California St , Pueblo CO 81004-3869. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Respite Care Facility / Respite Care. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Ssc Pueblo Operating Company Llc can be contacted via phone (719) 561-1300, or through Santoro, Kelle C via phone (832) 467-5728.
Contact Information
Primary practice address
2701 California St
Pueblo CO 81004-3869
Phone: (719) 561-1300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 0004 | Colorado |
| Respite Care Facility / Respite Care | 385H00000X | 0004 | Colorado |
Profile Details
| NPI number | 1881715910 |
|---|---|
| LBN Legal business name | Ssc Pueblo Operating Company Llc |
| DBA Doing business as | Minnequa Medicenter |
| Authorized official | Santoro, Kelle C |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Nov 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881715910 | NPPES |
| Colorado | MEDICAID | 01627015 | |
| Colorado | MEDICAID | 53273761 |
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