Healthcare Provider Details

I. General information

NPI: 1730778903
Provider Name (Legal Business Name): CAREPOINT INPATIENT BLUE SKY NEUROLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2021
Last Update Date: 01/13/2021
Certification Date: 12/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 S POTOMAC ST
AURORA CO
80012-5411
US

IV. Provider business mailing address

PO BOX 17326
DENVER CO
80217-0326
US

V. Phone/Fax

Practice location:
  • Phone: 303-695-2600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH SMITH
Title or Position: VP/GENERAL COUNSEL
Credential:
Phone: 303-436-2720