Organization
CHILDREN'S CLINIC OF PUEBLO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORAINE L. CARROLL M.D. (PHYSICIAN)
(719) 295-2305
Entity
Organization
Contact information
Practice address
1600 N GRAND AVE, SUITE 240, PUEBLO, CO 81003-2700
(719) 295-2305
(719) 295-2320
Mailing address
1600 N GRAND AVE, SUITE 240, PUEBLO, CO 81003-2700
(719) 295-2305
(719) 295-2320
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36942
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49708864
—
CO
01
—
CH636086
BCBS
—
Enumeration date
01/15/2007
Last updated
12/09/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us