| Thh358 LLC | |
|
5219 Brady Rd Colorado Springs CO 80915-1109 | |
| (719) 321-9107 | |
| Not Available |
| Full Name | Thh358 LLC |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 5219 Brady Rd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Starla Owen (OWNER) |
| Authorized Official Contact | 7193219107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thh358 LLC 5219 Brady Rd Colorado Springs CO 80915-1109 Ph: (719) 321-9107 | Thh358 LLC 5219 Brady Rd Colorado Springs CO 80915-1109 Ph: (719) 321-9107 |
| NPI Number | 1790656528 |
|---|---|
| Provider Enumeration Date | 09/15/2025 |
| Last Update Date | 09/15/2025 |
| Certification Date | 09/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790656528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (NU) | Primary |
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