| Parkview Ancillary Services | |
|
1600 N. Grand Ave. Ste. 260 Pueblo CO 81003-2729 | |
| (719) 562-2010 | |
| (719) 562-2097 |
| Full Name | Parkview Ancillary Services |
|---|---|
| Speciality | Family Medicine - Hospice And Palliative Medicine |
| Location | 1600 N. Grand Ave., Pueblo, Colorado |
| Authorized Official Name and Position | Jana Conroy (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 7195622010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkview Ancillary Services 2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 Ph: () - | Parkview Ancillary Services 1600 N. Grand Ave. Ste. 260 Pueblo CO 81003-2729 Ph: (719) 562-2010 |
| NPI Number | 1871137158 |
|---|---|
| Provider Enumeration Date | 10/30/2019 |
| Last Update Date | 12/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871137158 | NPI | - | NPPES |
| 9000145705 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Primary |
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