Rocky Mountain Brain Injury Services, Llc | |
1420 E Fountain Blvd Colorado Springs CO 80910-3502 | |
(719) 457-0660 | |
(719) 314-0149 |
Full Name | Rocky Mountain Brain Injury Services, Llc |
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Speciality | Clinic/center |
Location | 1420 E Fountain Blvd, Colorado Springs, Colorado |
Authorized Official Name and Position | Tracy Madigan (ACOUNTANT) |
Authorized Official Contact | 7196231148 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rocky Mountain Brain Injury Services, Llc 2812 E Bijou St Colorado Springs CO 80909-6339 Ph: (719) 457-0660 | Rocky Mountain Brain Injury Services, Llc 1420 E Fountain Blvd Colorado Springs CO 80910-3502 Ph: (719) 457-0660 |
NPI Number | 1194031575 |
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Provider Enumeration Date | 08/24/2010 |
Last Update Date | 08/24/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194031575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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