Provider Demographics
NPI:1376173765
Name:ASCENT HEALTH LLC
Entity Type:Organization
Organization Name:ASCENT HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-286-8590
Mailing Address - Street 1:2118 MONTEAGLE ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-1940
Mailing Address - Country:US
Mailing Address - Phone:210-286-8590
Mailing Address - Fax:
Practice Address - Street 1:2608 PALMER PARK BLVD.
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO- COLORADO
Practice Address - Zip Code:80909
Practice Address - Country:US
Practice Address - Phone:210-286-8590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-24
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health