# INTERNAL MEDICINE & PEDIATRIC ASSOCIATES, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609007863
- **Authorized official:** DR. STEVEN J SIMERVILLE MD (SOLE MBR)
- **Authorized official phone:** (719) 296-5854

## Contact information

- **Practice address:** 1008 MINNEQUA AVE, PUEBLO, CO 81004-3733
- **Practice address phone:** (719) 560-4000
- **Mailing address:** PO BOX 567, PUEBLO, CO 81002-0567
- **Mailing address phone:** (719) 296-5854
- **Mailing address fax:** (719) 542-0746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282E00000X | Long Term Care Hospital | 44566 | CO | — |
| 282N00000X | General Acute Care Hospital | 44566 | CO | Yes |
| 282NC2000X | Children's Hospital | 44566 | CO | — |

## Other

- **Enumeration date:** 08/05/2009
- **Last updated:** 12/14/2009