National Provider Identifier Database

DIVERSUS HEALTH INC
Mental Health (Including Community Mental Health Center)


Contact Information

DIVERSUS HEALTH INC
970 CASTELLO AVE
FAIRPLAY, CO80440
Phone: 719-572-6100
Fax:
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X

* Indicates primary specialty

NPI Profile & details for DIVERSUS HEALTH INC

NPI Number 1174988851
Legal business name
LBN
DIVERSUS HEALTH INC
Authorized official GENE CONTRERAS - (VP, ACCOUNTING & FINANCE)
Entity Organization
Organization subpart Yes
Enumeration date 12/22/2015
Last updated 01/09/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • CO Medicaid: 35105101

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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