DIVERSUS HEALTH INC; NPI #1174988851

Contact Information

DIVERSUS HEALTH INC

970 CASTELLO AVE
FAIRPLAY, CO 80440

Phone: 719-572-6100
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center

Indicates primary specialty

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NPI Profile & details for DIVERSUS HEALTH INC

NPI # 1174988851

LBN Legal business name DIVERSUS HEALTH INC

Authorized official GENE CONTRERAS - (VP, ACCOUNTING & FINANCE)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 12/22/2015

Last updated 01/09/2024 - About 2 years ago

Identifiers

Medicaid

35105101

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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