Organization
COLORADO MENTAL HEALTH INSTITUTE PUEBLO
Active
Parent organization
STATE OF COLORADO
Other names
CMHIP
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF COLORADO
Authorized official
MRS. KAT FOO (HIPAA OFFICER)
(303) 866-5871
Entity
Organization
Contact information
Practice address
1600 W 24TH ST, PUEBLO, CO 81003-1411
(303) 866-7149
Mailing address
1600 W 24TH ST, PUEBLO, CO 81003-1411
(303) 866-7149
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
99000008
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03211885
—
CO
01
—
0607258
NCPDP MEDICARE PART D
CO
Enumeration date
12/07/2006
Last updated
09/03/2009
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