Provider Demographics
NPI:1699414029
Name:HEALTH ESSENTIALS INC
Entity Type:Organization
Organization Name:HEALTH ESSENTIALS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEREMIAH
Authorized Official - Middle Name:J
Authorized Official - Last Name:BOGENHAGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-346-4681
Mailing Address - Street 1:451 14TH ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:CO
Mailing Address - Zip Code:80807-1609
Mailing Address - Country:US
Mailing Address - Phone:719-346-4681
Mailing Address - Fax:719-346-8742
Practice Address - Street 1:451 14TH ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:CO
Practice Address - Zip Code:80807-1609
Practice Address - Country:US
Practice Address - Phone:719-346-4681
Practice Address - Fax:719-346-8742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-02
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health