Stacy Green Enterprises, Llc

LBN: Stacy Green Enterprises, Llc
Stacy Green Enterprises, Llc is an health care organization with primary practice located at 3985 Wonderland Hill Ave Ste 107 , Boulder CO 80304-1038. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Stacy Green Enterprises, Llc can be contacted via phone (303) 717-2521, or through Green, Stacy via phone (303) 717-2521.

Contact Information

Primary practice address
3985 Wonderland Hill Ave Ste 107 Boulder CO 80304-1038
Phone: (303) 717-2521
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Green, Stacy Doctor of Medicine (MD)
Phone: (303) 717-2521

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1871262253
LBN Legal business name Stacy Green Enterprises, Llc
DBA Doing business as
Authorized official Green, Stacy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2021
Last updated Sep 9th, 2021 - 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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