DIVERSUS HEALTH INC NPI 1861036725

NPI Information

NPI: 1861036725
Provider Name: DIVERSUS HEALTH INC

Former Legal Business Name: ASPENPOINTE INC DBA ASPENPOINTE HEALTH SERVICES

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
18401 HIGHWAY 24 STE 119
WOODLAND PARK, CO
ZIP 80863
Phone: (719) 572-6100
Get Directions

DIVERSUS HEALTH INC is a rehabilitation and substance use disorder clinic center in Woodland Park, CO. DIVERSUS HEALTH INC NPI is 1861036725. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Aspenpointe Inc Dba Aspenpointe Health Services.

The provider's business location address is:

18401 HIGHWAY 24 STE 119
WOODLAND PARK, CO
ZIP 80863-036
Phone: (719) 572-6100

The provider's authorized official is Gene Contreras .
The authorized official title is Vp, Accounting & Finance and has the following contact phone number (719) 572-6197.

The CLIA number assigned to this NPI record is 06D2137671 - other - comm mental health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2019 and was last updated on 1/9/2024.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			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	9000154206	MEDICAID	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: 5/5/2024

NPI Synchronization or Removal

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