CASTLE VALLEY CHILDREN'S CLINIC NPI 1578766689

NPI Information

NPI: 1578766689
Provider Name: CASTLE VALLEY CHILDREN'S CLINIC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 06D0955806

Address:
820 CASTLE VALLEY BLVD
SUITE #204
NEW CASTLE, CO
ZIP 81647
Phone: (970) 984-3333
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CASTLE VALLEY CHILDREN'S CLINIC is a primary care clinic center in New Castle, CO. CASTLE VALLEY CHILDREN'S CLINIC NPI is 1578766689. The provider is registered as an organization entity type.

The provider's business location address is:

820 CASTLE VALLEY BLVD
SUITE #204
NEW CASTLE, CO
ZIP 81647-480
Phone: (970) 984-3333
Fax: (970) 984-0293

The provider's authorized official is Debbieanne Moeller .
The authorized official title is President and has the following contact phone number (970) 984-3333.

The CLIA number assigned to this NPI record is 06D0955806 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 1/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	08189731	MEDICAID	COLORADO
2	57507732	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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