1568833713 NPI number — CAREPOINT INPATIENT BLUE SKY NEUROLOGY PLLC

Table of content: MR. MARK LEWIS COX LISW (NPI 1679849095)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568833713 NPI number — CAREPOINT INPATIENT BLUE SKY NEUROLOGY PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CAREPOINT INPATIENT BLUE SKY NEUROLOGY PLLC
Provider Last Name:
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Provider's Other Name Information

Provider Other Organization Name:
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NPI Number Information

NPI Number:
1568833713
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/15/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5600 S QUEBEC ST STE 312A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENWOOD VILLAGE
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80111-2208
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-436-2720
Provider Business Mailing Address Fax Number:
303-436-2710

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
499 E HAMPDEN AVE
Provider Second Line Business Practice Location Address:
STE. 360
Provider Business Practice Location Address City Name:
ENGLEWOOD
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80113-2780
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-781-4485
Provider Business Practice Location Address Fax Number:
720-274-0064
Provider Enumeration Date:
10/14/2015

Additional Information

Authorized Official

Authorized Official Last Name:
SMITH
Authorized Official First Name:
DEBORAH
Authorized Official Middle Name:
Authorized Official Title or Position:
VP/GENERAL COUNSEL
Authorized Official Telephone Number:
303-436-2720

Provider Taxonomy Codes

  • Taxonomy code: 363AM0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084N0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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