Provider Demographics
NPI:1801526801
Name:AROUND THE BLOCK HEALTH CARE INC
Entity type:Organization
Organization Name:AROUND THE BLOCK HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHL
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:719-388-6325
Mailing Address - Street 1:5229 BLACKCLOUD LOOP
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80922-2909
Mailing Address - Country:US
Mailing Address - Phone:719-388-6325
Mailing Address - Fax:
Practice Address - Street 1:5229 BLACKCLOUD LOOP
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80922-2909
Practice Address - Country:US
Practice Address - Phone:719-388-6325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-13
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000200182Medicaid