Take Two Health Pc

LBN: Take Two Health Pc
Take Two Health Pc is an health care organization with primary practice located at 2503 Walnut St Ste 200 , Boulder CO 80302-5745. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Take Two Health Pc can be contacted via phone (303) 557-2250, or through Quarles, Leto via phone (303) 557-2250.

Contact Information

Primary practice address
2503 Walnut St Ste 200 Boulder CO 80302-5745
Phone: (303) 557-2250
Fax: (303) 325-7688
Website:
Map and Directions
Authorized official contact:
Name: Quarles, Leto Doctor of Medicine (MD)
Phone: (303) 557-2250

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X DR-45461 Colorado

Profile Details

NPI number 1720503139
LBN Legal business name Take Two Health Pc
DBA Doing business as
Authorized official Quarles, Leto Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2017
Last updated Aug 7th, 2017 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720503139 NPPES
Colorado MEDICAID 57820511

Popular Providers