Unknown Individual – Methadone Clinic, NPI 1386266286

Unknown Individual is a healthcare provider. based in Pueblo, Colorado. specializing in Methadone Clinic. The NPI Number for Unknown Individual is 1386266286

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1386266286
Phone
(719) 544-3150
Address
1530 W 17TH ST
Deactivation Date
14 January 2026

Contacts

Other Endpoint
Lamar
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness85
Years active:0State licenses:0Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 1530 W 17TH ST

    PUEBLO, CO 810031558

    Phone: (719) 544-3150

    Fax: (719) 583-4013

    Type: Mailing

  • 3501 S MAIN ST

    LAMAR, CO 810524336

    Phone: (719) 336-2600

    Fax: (719) 336-3669

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

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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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1386266286.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Methadone Clinic. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Pueblo, Colorado in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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