Provider Demographics
NPI:1790503290
Name:SPRINGS SOFT TISSUE, INC.
Entity type:Organization
Organization Name:SPRINGS SOFT TISSUE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GROVE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HIGGINS
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:719-225-4949
Mailing Address - Street 1:1840 WOODMOOR DR STE 104
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-7439
Mailing Address - Country:US
Mailing Address - Phone:719-225-4949
Mailing Address - Fax:719-225-4947
Practice Address - Street 1:1840 WOODMOOR DR STE 104
Practice Address - Street 2:
Practice Address - City:MONUMENT
Practice Address - State:CO
Practice Address - Zip Code:80132-7439
Practice Address - Country:US
Practice Address - Phone:719-225-4949
Practice Address - Fax:719-225-4947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service