Healthcare Provider Details

I. General information

NPI: 1417615659
Provider Name (Legal Business Name): CAREPOINT INTENSIVIST SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2021
Last Update Date: 12/06/2021
Certification Date: 12/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 N HILLSIDE ST
WICHITA KS
67214-4910
US

IV. Provider business mailing address

5600 S QUEBEC ST STE 312A
GREENWOOD VLG CO
80111-2208
US

V. Phone/Fax

Practice location:
  • Phone: 316-962-2000
  • Fax:
Mailing address:
  • Phone: 303-436-2727
  • Fax: 303-436-2710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH SMITH
Title or Position: VICE PRESIDENT/GENERAL COUNSEL
Credential: J.D.
Phone: 303-478-0430