Provider Demographics
NPI:1093860363
Name:HEALTH STOP LLC
Entity Type:Organization
Organization Name:HEALTH STOP LLC
Other - Org Name:SMARTCARE FAMILY MEDICAL CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-354-5720
Mailing Address - Street 1:17950 PRESTON RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-5793
Mailing Address - Country:US
Mailing Address - Phone:972-354-5720
Mailing Address - Fax:972-354-5747
Practice Address - Street 1:1325 DENVER AVE
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-5120
Practice Address - Country:US
Practice Address - Phone:970-350-5035
Practice Address - Fax:970-350-5038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO82272735Medicaid
CO149880OtherAETNA
CO149880OtherAETNA
CO=========OtherHUMANA
CO=========OtherANTHEM BCBS
CO807771Medicare UPIN
CO=========OtherHUMANA