Mesa Developmental Services

LBN: Mesa Developmental Services
Mesa Developmental Services is an health care organization with primary practice located at 2404 Teller Ave , Grand Junction CO 81501-5142. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Mesa Developmental Services can be contacted via phone (970) 244-5539, or through Bergquist, Christopher Brandon via phone (970) 256-8603.

Contact Information

Primary practice address
2404 Teller Ave Grand Junction CO 81501-5142
Fax:
Website:
Authorized official contact:
Name: Bergquist, Christopher Brandon

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1215590773
LBN Legal business name Mesa Developmental Services
DBA Doing business as
Authorized official Bergquist, Christopher Brandon
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2019
Last updated Jan 23rd, 2020 - 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 1215590773 NPPES
Colorado MEDICAID 73155071

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