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Contact Information

PARKVIEW ANCILLARY SERVICES
330 WEST 14TH STREET
PUEBLO, CO81003-2705
 Phone: 719-595-7417
 Fax: 719-542-0809
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for PARKVIEW ANCILLARY SERVICES

NPI Number 1609419738
LBN Legal business name PARKVIEW ANCILLARY SERVICES
Authorized official DARRIN SMITH - (SR. VP/COO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/22/2019
Last updated 02/07/2022 - About 4 years ago
Identifiers
CO Medicaid 9000158182
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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