SPRINGBOK HEALTH INC NPI 1952781601

NPI Information

NPI: 1952781601
Provider Name: SPRINGBOK HEALTH INC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 06D2162774

Address:
267 S JOE MARTINEZ BLVD
PUEBLO WEST, CO
ZIP 81007
Phone: (719) 766-8511
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SPRINGBOK HEALTH INC is a psychiatric/mental health nurse practitioner in Pueblo West, CO. SPRINGBOK HEALTH INC NPI is 1952781601. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

267 S JOE MARTINEZ BLVD
PUEBLO WEST, CO
ZIP 81007-741
Phone: (719) 766-8511
Fax: (719) 208-7731

The provider's authorized official is Mark Jankelow .
The authorized official title is Owner and has the following contact phone number (719) 251-6877.

The CLIA number assigned to this NPI record is 06D2162774 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2015 and was last updated on 10/10/2018.

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	101YM0800X	Counselor	Mental Health	APN.0990467-NP	COLORADO	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			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: 4/28/2024

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