<Unavail>

LBN: Diversus Health Inc
<Unavail> is an health care organization with primary practice located at 1795 Jet Wing Dr , Colorado Springs CO 80916-2332. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Diversus Health Inc can be contacted via phone (719) 572-6100, or through Contreras, Gene via phone (719) 572-6197.

Contact Information

Primary practice address
1795 Jet Wing Dr Colorado Springs CO 80916-2332
Phone: (719) 572-6100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Contreras, Gene
Phone: (719) 572-6197

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1841724796
LBN Legal business name Diversus Health Inc
DBA Doing business as <Unavail>
Authorized official Contreras, Gene
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 18th, 2017
Last updated Jan 9th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841724796 NPPES
Colorado MEDICAID 9000154137

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