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Contact Information

COLORADO SPRINGS SENIOR CARE, PLLC
15954 JACKSON CREEK PKWY
SUITE B, #474
MONUMENT, CO80132-8532
 Phone: 404-500-6372
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for COLORADO SPRINGS SENIOR CARE, PLLC

NPI Number 1164828281
LBN Legal business name COLORADO SPRINGS SENIOR CARE, PLLC
Authorized official GREGORY MESA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2014
Last updated 11/17/2014 - About 12 years ago
Identifiers
CO License # 48078
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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