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Contact Information

SOUTHERN COLORADO DEVELOPMENTAL DISABILITIES SERVICES, INC
1205 CONGRESS DR
TRINIDAD, CO81082-1283
 Phone: 719-846-4409
 Fax: 719-846-4543
 Website:
Indicates primary specialty

NPI Profile & details for SOUTHERN COLORADO DEVELOPMENTAL DISABILITIES SERVICES, INC

NPI # 1508996711
LBN Legal business name SOUTHERN COLORADO DEVELOPMENTAL DISABILITIES SERVICES, INC
Authorized official DUANE ROY - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/06/2007
Last updated 09/29/2025 - About 8 months ago
Identifiers
CO Medicaid 09144247
CO Medicaid 59155060
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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