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KEYSTONE HEALTH & WELLNESS CENTER INC

Multi-Specialty

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Contact Information

KEYSTONE HEALTH & WELLNESS CENTER INC
8765 E ORCHARD RD STE 702
GREENWOOD VILLAGE, CO  80111-5009
 Phone: 303-738-0390
 Fax: 866-238-2721
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Multi-Specialty

 261QM1300X 70 Clinic or Group Practice
 

Chiropractor

 111N00000X 35 Chiropractic
 

Family

 363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

 363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KEYSTONE HEALTH & WELLNESS CENTER INC

NPI Number 1780086181
LBN Legal business name KEYSTONE HEALTH & WELLNESS CENTER INC
Authorized official SHAWN JOHONNESSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/17/2014
Last updated 07/19/2019 - About 7 years ago
Identifiers
CO Medicaid 9000160975
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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