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Contact Information

COLORADO MENTAL HEALTH INSTITUTE PUEBLO
1600 W 24TH ST
PUEBLO, CO81003-1411
 Phone: 303-866-7149
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for COLORADO MENTAL HEALTH INSTITUTE PUEBLO

NPI Number 1649339516
LBN Legal business name COLORADO MENTAL HEALTH INSTITUTE PUEBLO
Authorized official KAT FOO - (HIPAA OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/07/2006
Last updated 09/03/2009 - About 17 years ago
Identifiers
CO License # 99000008
CO Medicaid 03211885
CO Other 0607258 NCPDP MEDICARE PART D
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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