Provider Demographics
NPI: | 1649947359 |
---|---|
Name: | CAREPOINT OUTPATIENT BLUE SKY NEUROLOGY PLLC |
Entity type: | Organization |
Organization Name: | CAREPOINT OUTPATIENT BLUE SKY NEUROLOGY PLLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | VP AND GENERAL COUNSEL |
Authorized Official - Prefix: | |
Authorized Official - First Name: | DEBORAH |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SMITH |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 303-436-2720 |
Mailing Address - Street 1: | PO BOX 17528 |
Mailing Address - Street 2: | |
Mailing Address - City: | DENVER |
Mailing Address - State: | CO |
Mailing Address - Zip Code: | 80217-0528 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 888-987-7975 |
Mailing Address - Fax: | 405-792-8910 |
Practice Address - Street 1: | 4700 HALE PKWY STE 340 |
Practice Address - Street 2: | |
Practice Address - City: | DENVER |
Practice Address - State: | CO |
Practice Address - Zip Code: | 80220-4024 |
Practice Address - Country: | US |
Practice Address - Phone: | 303-781-4485 |
Practice Address - Fax: | 720-274-0064 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2021-08-30 |
Last Update Date: | 2021-08-30 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology | Group - Multi-Specialty |