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General NPI Number Information
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NPI Number | 1134751712
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Entity Type | Organization
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Legal Business Name | PARKVIEW MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 02/11/2020
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 3670 PARKER BLVD STE 102
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City | PUEBLO
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State | CO
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Zip | 81008-2285
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Country | US
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Telephone | 719-584-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 E LOWRY BLVD MAIL STOP F402
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City | DENVER
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State | CO
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Zip | 80230-6507
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JON E RIGGS
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Credential |
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Telephone | 719-584-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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