1184751430 NPI number — ARAPAHOE ALTERNATIVE HEALTHCARE SERVICES

Table of content: TINA MINGUS LMBT 8788 (NPI 1174953830)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184751430 NPI number — ARAPAHOE ALTERNATIVE HEALTHCARE SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARAPAHOE ALTERNATIVE HEALTHCARE SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184751430
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6881 S HOLLY CIR
Provider Second Line Business Mailing Address:
STE 207
Provider Business Mailing Address City Name:
CENTENNIAL
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80112-1145
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-221-3600
Provider Business Mailing Address Fax Number:
720-529-0222

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6881 S HOLLY CIR
Provider Second Line Business Practice Location Address:
STE 207
Provider Business Practice Location Address City Name:
CENTENNIAL
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80112-1145
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-221-3600
Provider Business Practice Location Address Fax Number:
720-529-0222
Provider Enumeration Date:
02/27/2007

Additional Information

Authorized Official

Authorized Official Last Name:
FRIEDMAN
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
E
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
303-221-3600

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2368-3 . This is a "BLUE CROSS" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".




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