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Contact Information

HIGH PLAINS TOTAL CARE LLC
1925 E ORMAN AVE
STE A 235
PUEBLO, CO81004-3537
 Phone: 719-565-0200
 Fax: 719-565-0999
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for HIGH PLAINS TOTAL CARE LLC

NPI # 1558397281
LBN Legal business name HIGH PLAINS TOTAL CARE LLC
Authorized official VAUGHAN CIPPERLY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/24/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
CO License # 38639
CO Medicaid 44824785
Other 0619823 OTHER ID NUMBER-COMMERCIAL NUMBER
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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