Provider Demographics
NPI:1578195335
Name:INSPIRATION FIELD
Entity Type:Organization
Organization Name:INSPIRATION FIELD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-384-8741
Mailing Address - Street 1:612 ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:LA JUNTA
Mailing Address - State:CO
Mailing Address - Zip Code:81050-2535
Mailing Address - Country:US
Mailing Address - Phone:719-384-8741
Mailing Address - Fax:719-384-4278
Practice Address - Street 1:612 ADAMS AVE
Practice Address - Street 2:
Practice Address - City:LA JUNTA
Practice Address - State:CO
Practice Address - Zip Code:81050-2535
Practice Address - Country:US
Practice Address - Phone:719-384-8741
Practice Address - Fax:719-384-4278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-10
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management