| Specialized Inpatient Medical Services, Llc | |
|
855 Hunter Dr Pueblo CO 81001-1867 | |
| (719) 581-7123 | |
| (719) 564-1041 |
| Full Name | Specialized Inpatient Medical Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 855 Hunter Dr, Pueblo, Colorado |
| Authorized Official Name and Position | Steven James Simerville (OWNER) |
| Authorized Official Contact | 7195817123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialized Inpatient Medical Services, Llc 5 Pomona Ct Pueblo CO 81005-2986 Ph: (719) 581-7123 | Specialized Inpatient Medical Services, Llc 855 Hunter Dr Pueblo CO 81001-1867 Ph: (719) 581-7123 |
| NPI Number | 1376058743 |
|---|---|
| Provider Enumeration Date | 12/07/2017 |
| Last Update Date | 12/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376058743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 44566 (Colorado) | Primary |
| 208000000X | Pediatrics | 44566 (Colorado) | Secondary |
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