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PARKVIEW ANCILLARY SERVICES NPI 1497305478


NPI Information

NPI: 1497305478
Provider Name: PARKVIEW ANCILLARY SERVICES

Doing Business As: PARKVIEW MEDICAL GOUP VASCULAR AND VEIN CENTER

Classification: Specialist/Technologist Cardiovascular - 246XC2901X
Entity Type: Organization

Specialization: Cardiovascular Invasive Specialist

Address:
1401 COURT STREET
PUEBLO, CO
ZIP 81003
Phone: (719) 562-2300
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PARKVIEW ANCILLARY SERVICES is a cardiovascular invasive specialist specialist technologist cardiovascular in Pueblo, CO. PARKVIEW ANCILLARY SERVICES NPI is 1497305478. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Parkview Medical Goup Vascular And Vein Center.

The provider's business location address is:

1401 COURT STREET
PUEBLO, CO
ZIP 81003-715
Phone: (719) 562-2300
Fax: (719) 543-4963

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 enumeration date for this NPI number is 9/12/2019 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
1246XC2901XSpecialist/Technologist CardiovascularCardiovascular Invasive SpecialistYes

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
131730094MEDICAIDCOLORADO

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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