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NPI Code Detail

MEDICARE: SPRINGBOK HEALTH INC.

MEDICARE: SPRINGBOK HEALTH INC.
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
1171M00000XCase Manager/Care Coordinator
2251B00000XCase Management Agency
3261Q00000XClinic/Center
4363LC1500XCommunity Health Nurse Practitioner
5363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1942195227
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPRINGBOK HEALTH INC.
Provider Business Mailing Address
First Line : 1318 W COLORADO AVE
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-4023
Country : US
Telephone Number : 719-766-8511
Fax Number :
Provider Business Practice Location Address
First Line : 450 W JEFFERSON AVE
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80110-3536
Country : US
Telephone Number : 719-766-8511
Fax Number :
Authorized Official
Title or Position : COO
Name : PATRICIA CUPIT
Credential : DM
Telephone Number : 970-817-1742
Provider Enumeration Date : 06/09/2025
Last Update Date : 06/09/2025

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Directions to “SPRINGBOK HEALTH INC. ” Practice Location

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