1821668807 NPI number — CAREPOINT INPATIENT BLUE SKY NEUROLOGY PLLC

Table of content: (NPI 1821668807)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821668807 NPI number — CAREPOINT INPATIENT BLUE SKY NEUROLOGY PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CAREPOINT INPATIENT BLUE SKY NEUROLOGY PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
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Provider Other Last Name:
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Provider Other Name Prefix Text:
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NPI Number Information

NPI Number:
1821668807
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/30/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5600 S QUEBEC ST STE 312A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENWOOD VILLAGE
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80111-2208
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-953-5644
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4747 ARAPAHOE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BOULDER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80303-1131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-415-7000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/30/2021

Additional Information

Authorized Official

Authorized Official Last Name:
SMITH
Authorized Official First Name:
DEBORAH
Authorized Official Middle Name:
Authorized Official Title or Position:
VP/LEGAL COUNSEL
Authorized Official Telephone Number:
303-436-2720

Provider Taxonomy Codes

  • Taxonomy code: 2084N0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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