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Contact Information

CANYON RIDGE INTEGRATIVE HEALTH LLC
7280 LAGAE RD STE B
CASTLE PINES, CO80108-9454
 Phone: 303-660-3505
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for CANYON RIDGE INTEGRATIVE HEALTH LLC

NPI # 1497451355
LBN Legal business name CANYON RIDGE INTEGRATIVE HEALTH LLC
Authorized official BRYAN RUDIAK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2023
Last updated 02/09/2023 - About 3 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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