Organization

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

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

Provider Address