HEART CENTER A PROFESSIONAL LLP NPI 1194936906

NPI Information

NPI: 1194936906
Provider Name: HEART CENTER A PROFESSIONAL LLP
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
525 N FOOTE AVE
309
COLORADO SPRINGS, CO
ZIP 80909
Phone: (719) 475-2794
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HEART CENTER A PROFESSIONAL LLP is a specialist in Colorado Springs, CO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. HEART CENTER A PROFESSIONAL LLP NPI is 1194936906. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

525 N FOOTE AVE
309
COLORADO SPRINGS, CO
ZIP 80909-554
Phone: (719) 475-2794
Fax: (719) 475-1458

The provider's authorized official is Susan Rae Jensen .
The authorized official title is Dr and has the following contact phone number (719) 475-2794.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 2/13/2014.

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	174400000X	Specialist				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	C810432	OTHER	COLORADO	MEMORIAL HEALTH SYSTEMS
2	C810432	MEDICARE PIN	COLORADO
3	16559264	MEDICAID	COLORADO
4	C259508	MEDICARE PIN	COLORADO
5	CC9064	MEDICARE PIN	COLORADO
6	CC5654	OTHER	COLORADO	MEMORIAL HEALTH SYSTEMS
7	CC5654	MEDICARE PIN	COLORADO
8	01237551	MEDICAID	COLORADO
9	100144980	MEDICAID	KANSAS
10	CC9064	OTHER		MEMORIAL HEALTH SYSTEMS
11	CG9404	OTHER	COLORADO	RAILROAD MEDICARE
12	04023875	MEDICAID	COLORADO
13	54583	OTHER	KANSAS	BCBS

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: 11/14/2023

NPI Synchronization or Removal

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