<Unavail>
LBN: Madison Street Provider Network Inc
<Unavail> is an health care organization with primary practice located at 55 Madison St Ste 355 , Denver CO 80206-5429. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Madison Street Provider Network Inc can be contacted via phone (303) 377-2020, or through Neal, George L via phone (469) 214-0144.
Contact Information
Primary practice address
55 Madison St Ste 355
Denver CO 80206-5429
Phone: (303) 377-2020
Fax: (303) 377-2022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | Colorado | |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1699768663 |
|---|---|
| LBN Legal business name | Madison Street Provider Network Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Neal, George L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Oct 15th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699768663 | NPPES |
| Colorado | MEDICAID | 04012274 | |
| Colorado | MEDICAID | 12832278 |
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