JEFFERSON CENTER FOR MENTAL HEALTH NPI 1881288041

NPI Information

NPI: 1881288041
Provider Name: JEFFERSON CENTER FOR MENTAL HEALTH
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
15193 HIGHWAY 119
BLACK HAWK, CO
ZIP 80422
Phone: (303) 425-0300
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JEFFERSON CENTER FOR MENTAL HEALTH is a mental health (including community mental health center) clinic center in Black Hawk, CO. JEFFERSON CENTER FOR MENTAL HEALTH NPI is 1881288041. The provider is registered as an organization entity type.

The provider's business location address is:

15193 HIGHWAY 119
BLACK HAWK, CO
ZIP 80422-072
Phone: (303) 425-0300
Fax: (303) 432-5071

The provider's authorized official is David Goff .
The authorized official title is Chief Financial Officer and has the following contact phone number (303) 432-5164.

The enumeration date for this NPI number is 2/26/2021 and was last updated on 12/14/2021.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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: 5/5/2024

NPI Synchronization or Removal

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