HAVEN BEHAVIORAL SERVICES OF PUEBLO LLC NPI 1487868170

NPI Information

NPI: 1487868170
Provider Name: HAVEN BEHAVIORAL SERVICES OF PUEBLO, LLC

Doing Business As: HAVEN BEHAVIORAL HOSPITAL OF SOUTHERN COLORADO

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
1008 MINNEQUA AVE
SUITE 6100
PUEBLO, CO
ZIP 81004
Phone: (719) 546-6000
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HAVEN BEHAVIORAL SERVICES OF PUEBLO, LLC 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. HAVEN BEHAVIORAL SERVICES OF PUEBLO, LLC NPI is 1487868170. The provider is registered as an organization entity type.
The provider Is Doing Business As Haven Behavioral Hospital Of Southern Colorado.

The provider's business location address is:

1008 MINNEQUA AVE
SUITE 6100
PUEBLO, CO
ZIP 81004-733
Phone: (719) 546-6000
Fax: (719) 565-4021

The provider's authorized official is Christy A Keltner .
The authorized official title is Avp / Revenue Cycle and has the following contact phone number (615) 393-8816.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 6/15/2015.

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	283Q00000X	Psychiatric Hospital		APPLIED FOR	COLORADO	No
2	283Q00000X	Psychiatric Hospital		01P254	COLORADO	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	064025	OTHER	COLORADO	MEDICARE A

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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