STADIUM MEDICAL INC. NPI 1619279338

NPI Information

NPI: 1619279338
Provider Name: STADIUM MEDICAL, INC.
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 06D2205291

Address:
695 CANOSA CT # B
DENVER, CO
ZIP 80204
Phone: (303) 549-7916
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STADIUM MEDICAL, INC. is a public health or welfare in Denver, CO. STADIUM MEDICAL, INC. NPI is 1619279338. The provider is registered as an organization entity type.

The provider's business location address is:

695 CANOSA CT # B
DENVER, CO
ZIP 80204-143
Phone: (303) 549-7916

The provider's authorized official is Bernie Ames .
The authorized official title is Administrative Specialist and has the following contact phone number (303) 549-7916.

The CLIA number assigned to this NPI record is 06D2205291 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2010 and was last updated on 12/1/2010.

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	251K00000X	Public Health or Welfare				Yes

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
1	12959049	MEDICAID	COLORADO
2	C501278	MEDICARE PIN	COLORADO

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

NPI Synchronization or Removal

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