| Foundations, Inc. - Norman | |
|
2222 Norman Ln Pueblo CO 81005-3358 | |
| (801) 473-3963 | |
| (801) 797-1220 |
| Full Name | Foundations, Inc. - Norman |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2222 Norman Ln, Pueblo, Colorado |
| Authorized Official Name and Position | Angela J Waghorne-schulz (CFO) |
| Authorized Official Contact | 8014733963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations, Inc. - Norman 2414 Acadiana Ln Seabrook TX 77586-8309 Ph: (801) 473-3963 | Foundations, Inc. - Norman 2222 Norman Ln Pueblo CO 81005-3358 Ph: (801) 473-3963 |
| NPI Number | 1508607250 |
|---|---|
| Provider Enumeration Date | 06/05/2024 |
| Last Update Date | 08/19/2024 |
| Certification Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508607250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| 251S00000X | Community/behavioral Health | (NU) | Secondary |
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