Stadium Medical, Inc.

LBN: Stadium Medical, Inc.
Stadium Medical, Inc. is an health care organization with primary practice located at 695 Canosa Ct # B , Denver CO 80204-4143. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Stadium Medical, Inc. can be contacted via phone (303) 549-7916, or through Ames, Bernie via phone (303) 549-7916.

Contact Information

Primary practice address
695 Canosa Ct # B Denver CO 80204-4143
Phone: (303) 549-7916
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ames, Bernie
Phone: (303) 549-7916

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1619279338
LBN Legal business name Stadium Medical, Inc.
DBA Doing business as
Authorized official Ames, Bernie
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2010
Last updated Dec 1st, 2010 - about 15 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 1619279338 NPPES
Colorado MEDICAID 12959049

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