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Contact Information

PREMIUM DIRECT CARE PROVIDERS INC.
1612 BONFORTE BLVD
PUEBLO, CO81001-1603
 Phone: 719-543-3600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Disabilities

261QD1600X
Indicates primary specialty

NPI Profile & details for PREMIUM DIRECT CARE PROVIDERS INC.

NPI # 1346615085
LBN Legal business name PREMIUM DIRECT CARE PROVIDERS INC.
Authorized official JOANN MADRID - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/07/2015
Last updated 12/07/2015 - About 10 years ago
Identifiers n/a
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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