| Chase Integrated Care | |
|
50 E Dunlap Dr Pueblo CO 81007-1618 | |
| (719) 547-5138 | |
| (719) 547-4374 |
| Full Name | Chase Integrated Care |
|---|---|
| Speciality | General Practice |
| Location | 50 E Dunlap Dr, Pueblo, Colorado |
| Authorized Official Name and Position | Deborah Lynn Chase (OWNER/PROVIDER) |
| Authorized Official Contact | 7192509540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chase Integrated Care 1247 E Jaroso Dr Pueblo CO 81007-6509 Ph: (719) 250-9540 | Chase Integrated Care 50 E Dunlap Dr Pueblo CO 81007-1618 Ph: (719) 547-5138 |
| NPI Number | 1487422770 |
|---|---|
| Provider Enumeration Date | 12/15/2023 |
| Last Update Date | 12/15/2023 |
| Medicare PECOS PAC ID | 9537519475 |
|---|---|
| Medicare Enrollment ID | O20231219001501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487422770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Deborah Lynn Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447331830 PECOS PAC ID: 6305826207 Enrollment ID: I20231219001801 |
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