Premium Direct Care Providers Inc.

LBN: Premium Direct Care Providers Inc.
Premium Direct Care Providers Inc. is an health care organization with primary practice located at 1612 Bonforte Blvd , Pueblo CO 81001-1603. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Premium Direct Care Providers Inc. can be contacted via phone (719) 543-3600, or through Madrid, Joann via phone (719) 543-3600.

Contact Information

Primary practice address
1612 Bonforte Blvd Pueblo CO 81001-1603
Phone: (719) 543-3600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Madrid, Joann
Phone: (719) 543-3600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1346615085
LBN Legal business name Premium Direct Care Providers Inc.
DBA Doing business as
Authorized official Madrid, Joann
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2015
Last updated Dec 7th, 2015 - about 11 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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