Provider Demographics
NPI:1508366576
Name:CONVERGE HEALTH, LLC
Entity Type:Organization
Organization Name:CONVERGE HEALTH, LLC
Other - Org Name:CONVERGE, CONVERGE RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:RIOPELLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-589-7244
Mailing Address - Street 1:4410 OROFINO PL
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-9030
Mailing Address - Country:US
Mailing Address - Phone:303-589-7244
Mailing Address - Fax:
Practice Address - Street 1:4410 OROFINO PL
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108
Practice Address - Country:US
Practice Address - Phone:303-589-7244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-16
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Single Specialty