Organization
SOUTHERN COLORADO DEVELOPMENTAL DISABILITIES SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUANE ROY (EXECUTIVE DIRECTOR)
(719) 846-3391
Entity
Organization
Contact information
Practice address
415 S INDIANA AVE, TRINIDAD, CO 81082
(719) 846-4400
(719) 846-4543
Mailing address
1205 CONGRESS DR, TRINIDAD, CO 81082-1283
(719) 846-3391
(719) 846-4543
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09140070
—
CO
Enumeration date
02/08/2017
Last updated
01/09/2020
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