Healthone Clinic Services - Pediatric Specialties Llc
Legal Business Name
Healthone Clinic Services - Pediatric Specialties Llc
NPI Number
1720293251
NPI Type
Organization
Enumeration Date
05/10/2007
Specialties
(Taxonomies)Name
Code
231H00000X
207X00000X
207Y00000X
2080P0202X
2080P0207X
2080P0208X
2080P0210X
2086S0120X
2084S0012X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
2000 HEALTH PARK DR
2001 N HIGH ST
City
Brentwood
Denver
State
TN
CO
Postal Code
37027-4525
80205-5555
Country
US
US
Telephone Number
(615) 372-5426
(720) 754-1000
Authorized Official
Name
John Rebok
Title or Position
VP
Telephone Number
(615) 372-5004
Identifiers
Identifier
39831264
88150062
06653065
91103355
01026208
17088372
04558367
35958898
73801089
Unknown
Unknown
Unknown
Identifier State
CO
CO
CO
CO
CO
CO
CO
CO
CO
Unknown
Unknown
Unknown
Identifier Issuer
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/02/2023