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NPI Code Detail

MEDICARE: SABABA HEALTH GROUP-OUTCOMES AND ANALYTICS

MEDICARE: SABABA HEALTH GROUP-OUTCOMES AND ANALYTICS
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
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11386609428OTHERDR. SCOTT PRIMACK

General Provider Information

NPI Number : 1700355591
Entity Type Code : Organization
Provider Name (Legal Business Name) : SABABA HEALTH GROUP-OUTCOMES AND ANALYTICS
Provider Business Mailing Address
First Line : 5910 S UNIVERSITY BLVD
Second Line : C18 #318
City : GREENWOOD VILLAGE
State : CO
Zip : 80121-2883
Country : US
Telephone Number : 720-532-8008
Fax Number :
Provider Business Practice Location Address
First Line : 5910 S UNIVERSITY BLVD
Second Line : C18 #318
City : GREENWOOD VILLAGE
State : CO
Zip : 80121-2883
Country : US
Telephone Number : 720-532-8008
Fax Number :
Authorized Official
Title or Position : CHIEF MEDICAL DIRECTOR
Name : DR. SCOTT J PRIMACK
Credential : DO
Telephone Number : 720-255-5105
Provider Enumeration Date : 11/21/2018
Last Update Date : 11/21/2018

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