Mesa Developmental Services
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Clifton, CO
NPI 1013570571 · NPPES record last updated Jan 23, 2020
Key facts
- NPI
- 1013570571
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- Legal business name
- MESA DEVELOPMENTAL SERVICES
- Practice address
- 3301 Laurel LN
Clifton, CO 81520-8123 - Phone
- (970) 434-9738
- NPI assigned
- Apr 19, 2019
- Organization subpart
- No
Authorized official
- Name
- Christopher Brandon Bergquist
- Title
- Cfo
- Phone
- (970) 256-8603
Corporate family (same tax ID) 22
National Provider Directory
- Tax ID family
- Mesa Developmental Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Yes |
Addresses
Primary practice location
3301 Laurel LN
Clifton, CO 81520-8123
Mailing address
790 Wellington Ave
Grand Junction, CO 81501-6126
Phone (970) 243-3702
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09140021 | Medicaid | CO |
Other names
- Strive
Other providers in Clifton, CO
- Ashley Kent
- Reese Lansville
- Cynthia Esperanza Lopez
- Iliana Maria Martinez Lugo
- Marymaid
- Siona Motufau Jr.
- Kelly Sue Orellana
- Peach Valley Family Medical Center, PC
- Peachtree Assisted Living LLC
- Peachtree Assisted Living LLC
All providers in Clifton, CO · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.