Southern Colorado Clinic

LBN: Southern Colorado Clinic
Southern Colorado Clinic is an health care organization with primary practice located at 3676 Parker Blvd , Pueblo CO 81008-2212. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Southern Colorado Clinic can be contacted via phone (719) 553-2200, or through Potzler, Mark Stuart via phone (719) 553-1802.

Contact Information

Primary practice address
3676 Parker Blvd Pueblo CO 81008-2212
Phone: (719) 553-2200
Fax: (719) 553-2216
Website:
Map and Directions
Authorized official contact:
Name: Potzler, Mark Stuart Doctor of Medicine (MD)
Phone: (719) 553-1802

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1659435535
LBN Legal business name Southern Colorado Clinic
DBA Doing business as
Authorized official Potzler, Mark Stuart Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 21st, 2006
Last updated Dec 29th, 2009 - about 16 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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