Organization
CH MSSP SERVICES CO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HOWARD (SVP OF ADMINISTRATIVE SERVICES)
(337) 408-0797
Entity
Organization
Contact information
Practice address
1900 W LITTLETON BLVD, LITTLETON, CO 80120-2023
(337) 408-0797
Mailing address
5750 JOHNSTON ST STE 205, LAFAYETTE, LA 70503-5334
(337) 408-0797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
07/23/2024
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