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HEALTHSOURCE OF DTC P.C. NPI 1447688627


NPI Information

NPI: 1447688627
Provider Name: HEALTHSOURCE OF DTC, P.C.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
5105 DTC PKWY
SUITE 305
GREENWOOD VILLAGE, CO
ZIP 80111
Phone: (303) 290-0022
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HEALTHSOURCE OF DTC, P.C. is a clinic center in Greenwood Village, CO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). HEALTHSOURCE OF DTC, P.C. NPI is 1447688627. The provider is registered as an organization entity type.

The provider's business location address is:

5105 DTC PKWY
SUITE 305
GREENWOOD VILLAGE, CO
ZIP 80111-610
Phone: (303) 290-0022
Fax: (303) 290-9476

The provider's authorized official is Christopher Holowiski .
The authorized official title is Prisident and has the following contact phone number (303) 290-0022.

The enumeration date for this NPI number is 10/24/2013 and was last updated on 6/11/2015.


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
1261Q00000XClinic/Center5504COLORADOYes

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
1COAAA4439OTHERCOLORADOMEDICARE PTAN

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

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