State Of Colorado

LBN: State Of Colorado
State Of Colorado is an health care organization with primary practice located at 1600 W 24Th St , Pueblo CO 81003-1411. The organization recently has only one registered license in Hospitals / Psychiatric Hospital, which is considered as the primary health care specialty. State Of Colorado can be contacted via phone (719) 546-4000, or through Foo, Kathleen V. via phone (303) 866-5871.

Contact Information

Primary practice address
1600 W 24Th St Pueblo CO 81003-1411
Fax: (719) 546-4982
Website:
Authorized official contact:
Name: Foo, Kathleen V.

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X 0236 Colorado

Profile Details

NPI number 1326170739
LBN Legal business name State Of Colorado
DBA Doing business as
Authorized official Foo, Kathleen V.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2007
Last updated Dec 11th, 2008 - 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 1326170739 NPPES
Colorado MEDICAID 05078001

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