ROCKY MOUNTAIN BRAIN INJURY SERVICES, LLC (NPI# 1194031575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194031575 |
Entity Type | Organization |
Organization Name | ROCKY MOUNTAIN BRAIN INJURY SERVICES, LLC |
Practice Address |
1420 E Fountain Blvd Colorado Springs CO 80910-3502 |
Mailing Address |
2812 E Bijou St Colorado Springs CO 80909-6339 |
Practice Telephone | 7194570660 |
Practice Fax Number | 7193140149 |
Mailing Telephone | 7194570660 |
Mailing Fax Number | 7193140149 |
Enumeration Date | 2010-08-24 |
Last Update Date | 2010-08-24 |
Authorized Official Name | TRACY MADIGAN (ACOUNTANT) |
Authorized Official Telephone | 7196231148 |
Is Organization Subpart | Y |
Parent Organization Name | ROCKY MOUNTAIN HEALTH CARE SERVICES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Street Address |
1420 E FOUNTAIN BLVD |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80910-3502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902430408 | Lodge Assisted Living LLC | Assisted Living Facility | 1420 E Fountain Blvd, Colorado Springs, CO 80910-3502 | 2020-02-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952955403 | Marian Lin Mondy | Social Worker | 2909 Wellshire Blvd., Colorado Springs, CO 80910 | 2019-08-01 |
1538727474 | Lisa Morales | Audiologist | 3225 International Cir Ste 102, Colorado Springs, CO 80910 | 2019-06-05 |
1134617038 | Paul Gross | Counselor | 411 Lakewood Circle Dr, C-204-b, Colorado Springs, CO 80910 | 2018-04-25 |
1821502923 | Kathleen Lubos Ambros-dahilig | Dental Assistant | 2240 Gilpin Ave, Colorado Springs, CO 80910 | 2017-11-28 |
1508384793 | Shawn Maul | Registered Nurse | 115 S Parkside, Colorado Springs, CO 80910 | 2017-09-07 |
1376910521 | Kelley Elizabeth Smith Bouchard | Nurse Practitioner | 3225 International Circle Suite 220, Colorado Springs, CO 80910 | 2015-08-24 |
1619353430 | Dr. Steven Alan Gould Dds PC | Dentist | 2859 E. Fountain Blvd, Colorado Springs, CO 80910 | 2015-08-04 |
1881029155 | Francis Hammet | Chiropractor | 411 Lakewood Circle A1104, Colorado Springs, CO 80910 | 2013-09-05 |
1447697586 | Mcb Clinical Research Centers, LLC | Psychologist | 110 S. Parkside Drive, Colorado Springs, CO 80910 | 2013-05-30 |
1417206723 | Augustus Albert Edwards | Case Manager/Care Coordinator | 115 Parkside Drive, Colorado Springs, CO 80910 | 2012-08-31 |
Find all providers in zip 80910 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295334746 | Joel Allen Miller | Clinic/Center | 2125 Norwich Dr, Colorado Springs, CO 80920-5332 | 2020-10-25 |
1972122232 | Chc Ncs, LLC | Clinic/Center | 11681 Voyager Pkwy Ste 110, Colorado Springs, CO 80921-3862 | 2020-04-15 |
1053880120 | Westside Wellness Pllc | Clinic/Center | 2020 W Colorado Ave Ste 201, Colorado Springs, CO 80904-3863 | 2018-11-19 |
1255831665 | Colorado Department of Corrections | Clinic/Center | 1250 Academy Park Loop, Colorado Springs, CO 80910-3708 | 2018-02-13 |
1205355732 | Healthworks Med Group of Colorado P C | Clinic/Center | 9970 Federal Dr, Colorado Springs, CO 80921-3616 | 2017-09-15 |
1841688058 | Thrive Wellness Centre | Clinic/Center | 3540 Austin Bluffs Pkwy, Ste 7 & 8, Colorado Springs, CO 80918-5731 | 2014-12-23 |
1609114560 | Sensible Chiropractic Pllc | Clinic/Center | 1880 Dublin Blvd Ste E, Colorado Springs, CO 80918-1224 | 2013-01-27 |
1528220258 | Peter M. Bianco Do LLC | Clinic/Center | 5333 N Union Blvd, Ste 200, Colorado Springs, CO 80918-2051 | 2008-06-25 |
1740493329 | Tlc Vc, LLC | Clinic/Center | 6430 N Academy Blvd, Colorado Springs, CO 80918-8303 | 2007-05-08 |
1336119403 | Dod | Clinic/Center | 7500 Cochrane Cir, Ft.carson, Colorado Springs, CO 80913-7692 | 2006-01-23 |
Find all providers in COLORADO SPRINGS |
City | COLORADO SPRINGS |
Zip Code | 80910 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.