Provider Demographics
NPI: | 1487229373 |
---|---|
Name: | ARSALDO, INC. |
Entity type: | Organization |
Organization Name: | ARSALDO, INC. |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR OF IT SYSTEMS |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | CAMERON |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | REED |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 720-386-0563 |
Mailing Address - Street 1: | 2301 BLAKE ST |
Mailing Address - Street 2: | |
Mailing Address - City: | DENVER |
Mailing Address - State: | CO |
Mailing Address - Zip Code: | 80205-2101 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 720-420-6208 |
Mailing Address - Fax: | 720-722-5185 |
Practice Address - Street 1: | 2301 BLAKE ST |
Practice Address - Street 2: | |
Practice Address - City: | DENVER |
Practice Address - State: | CO |
Practice Address - Zip Code: | 80205-2101 |
Practice Address - Country: | US |
Practice Address - Phone: | 720-420-6208 |
Practice Address - Fax: | 720-722-5185 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2021-05-24 |
Last Update Date: | 2021-05-25 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | Primary Care | |
No | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty |