Organization · Type 2 NPI

Children's Hospital Colorado

Rehabilitation Clinic/Center · Pueblo, CO

NPI number 1629454962 Active

Practice location

704 Fortino Blvd Ste A
Pueblo, CO 81008-2087

Call (719) 305-8300 Map

Fax (720) 777-7257

Mailing address

13123 East 16th Avenue, B010
Aurora, CO 80045-7106

Specialties and licenses

Taxonomy	Code	License
Rehabilitation Clinic/Center Primary	261QR0400X	None listed

Rehabilitation Clinic/Center: Definition to come...

4 other providers at this address

Corey Poe Mattorano, MS. CCC-SLPSpeech-Language Pathologist Pueblo, CO NPI 1407304819
Elyse Ramsay, M.S., CF-SLPSpeech-Language Pathologist Pueblo, CO NPI 1912568635
Jaclyn Amber MutzSpeech-Language Pathologist Pueblo, CO NPI 1366812851
Martha Louise Drake, MA, CCC-SLPSpeech-Language Pathologist Pueblo, CO NPI 1447620943

Other rehabilitation clinic/center providers in Pueblo

See all in Pueblo →

NPI record

NPI: 1629454962
Entity type: Organization (Type 2)
Issued: Aug 10, 2015
Last updated: Nov 2, 2018
Status: Active
Subpart: Yes of Children's Hospital Colorado

Other names

<unavail>
Children's Hospital - Pueblo · other name
Children's Hospital - Pueblo · other name

Authorized official

Linda Michael
VP, Chief Compliance Officer
(720) 777-6537

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1629454962

Children's Hospital Colorado's National Provider Identifier is 1629454962, issued on Aug 10, 2015. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Pueblo, CO. The record was last updated on Nov 2, 2018.