Provider Demographics
NPI:1700355591
Name:SABABA HEALTH GROUP-OUTCOMES AND ANALYTICS
Entity Type:Organization
Organization Name:SABABA HEALTH GROUP-OUTCOMES AND ANALYTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:J
Authorized Official - Last Name:PRIMACK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:720-255-5105
Mailing Address - Street 1:5910 S UNIVERSITY BLVD
Mailing Address - Street 2:C18 #318
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80121-2883
Mailing Address - Country:US
Mailing Address - Phone:720-532-8008
Mailing Address - Fax:
Practice Address - Street 1:5910 S UNIVERSITY BLVD
Practice Address - Street 2:C18 #318
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80121-2883
Practice Address - Country:US
Practice Address - Phone:720-532-8008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-21
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1386609428OtherDR. SCOTT PRIMACK