Organization
HEART CENTER A PROFESSIONAL LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN RAE JENSEN MD (DR)
(719) 475-2794
Entity
Organization
Contact information
Practice address
525 N FOOTE AVE, 309, COLORADO SPRINGS, CO 80909-4554
(719) 475-2794
(719) 475-1458
Mailing address
525 N FOOTE AVE, 309, COLORADO SPRINGS, CO 80909-4554
(719) 475-2794
(719) 475-1458
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01237551
—
CO
05
—
04023875
—
CO
05
—
100144980
—
KS
05
—
16559264
—
CO
01
—
54583
BCBS
KS
01
—
C810432
MEMORIAL HEALTH SYSTEMS
CO
01
—
CC5654
MEMORIAL HEALTH SYSTEMS
CO
01
—
CC9064
MEMORIAL HEALTH SYSTEMS
—
01
—
CG9404
RAILROAD MEDICARE
CO
Enumeration date
05/24/2007
Last updated
02/13/2014
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