Provider Demographics
NPI:1922535681
Name:HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:HEALTH SOLUTIONS
Other - Org Name:RURAL SERVICES - HUERFANO COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIPPEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-545-2746
Mailing Address - Street 1:41 MONTEBELLO RD STE 204
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81001-1379
Mailing Address - Country:US
Mailing Address - Phone:719-545-2746
Mailing Address - Fax:719-542-9638
Practice Address - Street 1:926 RUSSELL AVE
Practice Address - Street 2:
Practice Address - City:WALSENBURG
Practice Address - State:CO
Practice Address - Zip Code:81089-2134
Practice Address - Country:US
Practice Address - Phone:719-738-2386
Practice Address - Fax:719-738-2021
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH SOLUTIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-12
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC18009Medicare PIN