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NPI Code Detail

MEDICARE: SPRINGS REHABILITATION FOUNDER HOLDINGS, PC

MEDICARE: SPRINGS REHABILITATION FOUNDER HOLDINGS, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist33700CO
2174400000XSpecialist0033700CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558460535
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPRINGS REHABILITATION FOUNDER HOLDINGS, PC
Provider Business Mailing Address
First Line : 7951 SHOAL CREEK BLVD STE 300
Second Line :
City : AUSTIN
State : TX
Zip : 78757-7582
Country : US
Telephone Number : 512-584-8404
Fax Number : 719-634-4042
Provider Business Practice Location Address
First Line : 6025 DELMONICO DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-2251
Country : US
Telephone Number : 719-634-7246
Fax Number : 855-592-2816
Authorized Official
Title or Position : CEO
Name : SANDFORD MATTHEW SCHOCKET
Credential : M.D.
Telephone Number : 512-584-8404
Provider Enumeration Date : 09/22/2006
Last Update Date : 11/07/2024

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Directions to “SPRINGS REHABILITATION FOUNDER HOLDINGS, PC ” Practice Location

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