PARKVIEW ANCILLARY SERVICES NPI 1144869371

NPI Information

NPI: 1144869371
Provider Name: PARKVIEW ANCILLARY SERVICES
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 06D2039596

Address:
109 LATIGO LN STE E
CANON CITY, CO
ZIP 81212
Phone: (719) 595-7740
Get Directions

PARKVIEW ANCILLARY SERVICES is a cardiovascular disease internal medicine in Canon City, CO. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PARKVIEW ANCILLARY SERVICES NPI is 1144869371. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

109 LATIGO LN STE E
CANON CITY, CO
ZIP 81212-113
Phone: (719) 595-7740
Fax: (719) 595-7745

The provider's authorized official is Darrin R Smith .
The authorized official title is Sr Vp/coo and has the following contact phone number (719) 584-4290.

The CLIA number assigned to this NPI record is 06D2039596 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2020 and was last updated on 1/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	26834774	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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