| Foundations, Inc. - Pitkin | |
|
901 W Pitkin Ave Pueblo CO 81004-1142 | |
| (801) 473-3963 | |
| (801) 797-1220 |
| Full Name | Foundations, Inc. - Pitkin |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 901 W Pitkin Ave, 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. - Pitkin 2414 Acadiana Ln Seabrook TX 77586-8309 Ph: (801) 473-3963 | Foundations, Inc. - Pitkin 901 W Pitkin Ave Pueblo CO 81004-1142 Ph: (801) 473-3963 |
| NPI Number | 1295582583 |
|---|---|
| Provider Enumeration Date | 05/03/2024 |
| Last Update Date | 08/20/2024 |
| Certification Date | 08/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295582583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| 251S00000X | Community/behavioral Health | (NU) | Secondary |
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