COMPLETE EMERGENCY CARE PUEBLO LLC NPI 1639619620

NPI Information

NPI: 1639619620
Provider Name: COMPLETE EMERGENCY CARE PUEBLO LLC
Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

CLIA Number: 45D2082398

Address:
2035 S PUEBLO BLVD
PUEBLO, CO
ZIP 81005
Phone: (817) 527-3431
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COMPLETE EMERGENCY CARE PUEBLO LLC is an emergency care clinic center in Pueblo, CO. COMPLETE EMERGENCY CARE PUEBLO LLC NPI is 1639619620. The provider is registered as an organization entity type.

The provider's business location address is:

2035 S PUEBLO BLVD
PUEBLO, CO
ZIP 81005-577
Phone: (817) 527-3431
Fax: (817) 527-3445

The provider's authorized official is Braxton Neiman .
The authorized official title is General Counsel and has the following contact phone number (817) 421-0031.

The CLIA number assigned to this NPI record is 45D2082398 - other with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/24/2017 and was last updated on 4/26/2017.

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	261QE0002X	Clinic/Center	Emergency Care			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: 11/14/2023

NPI Synchronization or Removal

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