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PARKVIEW ANCILLARY SERVICES NPI 1346883097


NPI Information

NPI: 1346883097
Provider Name: PARKVIEW ANCILLARY SERVICES

Doing Business As: PARKVIEW MEDICAL GROUP RAPID CARE

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 06D2141307

Address:
1600 N GRAND AVE STE 210
PUEBLO, CO
ZIP 81003
Phone: (719) 595-7778
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PARKVIEW ANCILLARY SERVICES is a family nurse practitioner in Pueblo, CO. PARKVIEW ANCILLARY SERVICES NPI is 1346883097. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Parkview Medical Group Rapid Care.

The provider's business location address is:

1600 N GRAND AVE STE 210
PUEBLO, CO
ZIP 81003-749
Phone: (719) 595-7778
Fax: (719) 562-2394

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 06D2141307 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2019 and was last updated on 2/3/2022.


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
1363LF0000XNurse PractitionerFamilyYes

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
19000156518MEDICAIDCOLORADO

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

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.