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NPI Code Detail

MEDICARE: CEDAR SPRINGS HOSPITAL, INC

MEDICARE: CEDAR SPRINGS HOSPITAL, 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)1099CO
2323P00000XPsychiatric Residential Treatment Facility1517006CO
3283Q00000XPsychiatric Hospital1099CO

Other Identifiers

General Provider Information

NPI Number : 1992752133
Entity Type Code : Organization
Provider Name (Legal Business Name) : CEDAR SPRINGS HOSPITAL, INC
Provider Business Mailing Address
First Line : PO BOX 841005
Second Line :
City : DALLAS
State : TX
Zip : 75284-1005
Country : US
Telephone Number : 719-633-4114
Fax Number : 719-578-5407
Provider Business Practice Location Address
First Line : 2135 SOUTHGATE RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80906-2605
Country : US
Telephone Number : 719-633-4114
Fax Number : 719-578-5407
Authorized Official
Title or Position : SR VP CFO
Name : STEVE FILTON
Credential :
Telephone Number : 610-738-3300
Provider Enumeration Date : 05/30/2006
Last Update Date : 03/09/2017

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