Provider Demographics
NPI:1801116900
Name:SLEEP COLORADO INCORPORATED
Entity type:Organization
Organization Name:SLEEP COLORADO INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:THURMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-291-6543
Mailing Address - Street 1:1849 AUSTIN BLUFFS PKWY
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-7843
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3673 PARKER BLVD
Practice Address - Street 2:SUITE 160C
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81008-2210
Practice Address - Country:US
Practice Address - Phone:719-696-8113
Practice Address - Fax:719-696-8114
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SLEEP COLORADO INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-11
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic