Unknown Individual – Substance Abuse Rehabilitation Facility, NPI 1710282017

Unknown Individual is a healthcare provider. based in Pueblo, Colorado. specializing in Substance Abuse Rehabilitation Facility. The NPI Number for Unknown Individual is 1710282017

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710282017
Phone
(719) 544-3150
Address
1530 W 17TH ST
Deactivation Date
18 December 2020

Contacts

Other Endpoint
Pueblo
Data current as of
20 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) 583-4015

    Type: Mailing

  • 3500 BALTIMORE AVE

    PUEBLO, CO 810081543

    Phone: (719) 545-1181

    Fax: (719) 545-1191

    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.

This can happen when there are no reportable CMS Open Payments records.

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

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1710282017 — is the standard way to identify this listing.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Substance Abuse Rehabilitation Facility. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Pueblo, Colorado as a primary anchor for Unknown Individual unless the record lists multiple sites.
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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