Unknown Individual – Methadone Clinic, NPI 1104448802
Methadone Clinic
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1530 W 17TH ST
PUEBLO, CO 810031558
Phone: (719) 544-3150
Fax: (719) 583-4015
Type: Mailing
509 E 13TH ST BLDG B
PUEBLO, CO 810012940
Phone: (719) 546-6666
Fax: (719) 404-0138
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 81003)
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