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NPI Code Detail

MEDICARE: INTEGRATED HEALTH SERVICES AT COLORADO SPRINGS INC

MEDICARE: INTEGRATED HEALTH SERVICES AT COLORADO SPRINGS 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
1314000000XSkilled Nursing Facility0165CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
157688894OTHERCODEPT OF DEFENSETPIN #
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316944135
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRATED HEALTH SERVICES AT COLORADO SPRINGS INC
Provider Business Mailing Address
First Line : 3625 PARKMOOR VILLAGE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80917-5205
Country : US
Telephone Number : 719-550-0200
Fax Number : 719-637-0756
Provider Business Practice Location Address
First Line : 3625 PARKMOOR VILLAGE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80917-5205
Country : US
Telephone Number : 719-550-0200
Fax Number : 719-637-0756
Authorized Official
Title or Position : CEO
Name : MR. BRIAN REYNOLDS
Credential :
Telephone Number : 410-513-8738
Provider Enumeration Date : 07/07/2005
Last Update Date : 07/16/2014

Similar Medicare Providers

1093727430 — NANCY T. DASSOFF PH.D.
Practice Location Address:
3625 PARKMOOR VILLAGE DR
COLORADO SPRINGS, CO
80917-5205
Practice Phone: 888-948-6789
Practice Fax: 877-345-3501
1760700728 — NATHALIE CRAWFORD R.D.
Practice Location Address:
3625 PARKMOOR VILLAGE DR
COLORADO SPRINGS, CO
80917-5205
Practice Phone: 719-570-4006
Practice Fax:
1043670185 — INTEGRATED HEALTH SERVICES AT COLORADO SPRINGS INC
Practice Location Address:
3625 PARKMOOR VILLAGE DR
COLORADO SPRINGS, CO
80917-5205
Practice Phone: 719-550-0200
Practice Fax: 719-637-0756
1831547934 — MRS. TAYLOR MEEK
Practice Location Address:
3625 PARKMOOR VILLAGE DR
COLORADO SPRINGS, CO
80917-5205
Practice Phone: 719-550-0200
Practice Fax:
1023529112 — MELISSA DRAKE HUTCHINSON COTA/L
Practice Location Address:
3625 PARKMOOR VILLAGE DR
COLORADO SPRINGS, CO
80917-5205
Practice Phone: 205-353-1224
Practice Fax: 205-353-1224
1124534250 — SAMANTHA CONRAD
Practice Location Address:
3625 PARKMOOR VILLAGE DR
COLORADO SPRINGS, CO
80917-5205
Practice Phone: 719-550-0200
Practice Fax:

Directions to “INTEGRATED HEALTH SERVICES AT COLORADO SPRINGS INC ” Practice Location

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