<Unavail>

LBN: Maura Stack Oden Llc
<Unavail> is an health care organization with primary practice located at 1309 Oak Way Ave , Glenwood Springs CO 81601-4049. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Maura Stack Oden Llc can be contacted via phone (720) 670-9046, or through Wamsley, Maura via phone (720) 670-9046.

Contact Information

Primary practice address
1309 Oak Way Ave Glenwood Springs CO 81601-4049
Phone: (720) 670-9046
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wamsley, Maura BCBA
Phone: (720) 670-9046

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1194186148
LBN Legal business name Maura Stack Oden Llc
DBA Doing business as <Unavail>
Authorized official Wamsley, Maura BCBA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2016
Last updated Jul 23rd, 2021 - about 5 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 1194186148 NPPES
Colorado MEDICAID 64185044

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