Provider Type Icon

STATE OF COLORADO NPI 1326170739


NPI Information

NPI: 1326170739
Provider Name: STATE OF COLORADO
Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
1600 W 24TH ST
PUEBLO, CO
ZIP 81003
Phone: (719) 546-4000
Get Directions

STATE OF COLORADO is a psychiatric hospital in Pueblo, CO. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. STATE OF COLORADO NPI is 1326170739. The provider is registered as an organization entity type.

The provider's business location address is:

1600 W 24TH ST
PUEBLO, CO
ZIP 81003-411
Phone: (719) 546-4000
Fax: (719) 546-4982

The provider's authorized official is Kathleen V. Foo .
The authorized official title is Hipaa Privacy & Security Officer and has the following contact phone number (303) 866-5871.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 12/11/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1283Q00000XPsychiatric Hospital0236COLORADOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
105078001MEDICAIDCOLORADO
2060115MEDICARE OSCAR/CERTIFICATIONCOLORADO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.