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SPANISH PEAKS NEW ALTERNATIVES INC. NPI 1578338414


NPI Information

NPI: 1578338414
Provider Name: SPANISH PEAKS NEW ALTERNATIVES, INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 06D2298561

Address:
41 MONTEBELLO RD STE 116
PUEBLO, CO
ZIP 81001
Phone: (719) 423-1500
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SPANISH PEAKS NEW ALTERNATIVES, INC. is a rehabilitation and substance use disorder clinic center in Pueblo, CO. SPANISH PEAKS NEW ALTERNATIVES, INC. NPI is 1578338414. The provider is registered as an organization entity type.

The provider's business location address is:

41 MONTEBELLO RD STE 116
PUEBLO, CO
ZIP 81001-366
Phone: (719) 423-1500
Fax: (719) 545-4100

The provider's authorized official is Jennifer Rudnik .
The authorized official title is Credentialing Manager and has the following contact phone number (719) 423-1341.

The CLIA number assigned to this NPI record is 06D2298561 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2023 and was last updated on 11/21/2023.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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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