Provider Demographics
NPI:1366870859
Name:ANIMAL CARE CENTER OF CASTLE ROCK
Entity type:Organization
Organization Name:ANIMAL CARE CENTER OF CASTLE ROCK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/HOSPITAL ADMINISTATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MAMULA
Authorized Official - Suffix:
Authorized Official - Credentials:DVM, MBA, CVPM
Authorized Official - Phone:303-688-3660
Mailing Address - Street 1:562 E CASTLE PINES PKWY STE C5
Mailing Address - Street 2:
Mailing Address - City:CASTLE PINES
Mailing Address - State:CO
Mailing Address - Zip Code:80108-4609
Mailing Address - Country:US
Mailing Address - Phone:303-688-3660
Mailing Address - Fax:303-688-3242
Practice Address - Street 1:562 E CASTLE PINES PKWY STE C5
Practice Address - Street 2:
Practice Address - City:CASTLE PINES
Practice Address - State:CO
Practice Address - Zip Code:80108-4609
Practice Address - Country:US
Practice Address - Phone:303-688-3660
Practice Address - Fax:303-688-3242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-22
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7735284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital