NPIMap

Organization Active NPI

Devereux Cleo Wallace

  • Community/Behavioral Health Agency
  • Westminster, CO
National Provider Identifier
1417460791
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DEVEREUX CLEO WALLACE
Practice address
8405 Church Ranch Blvd
Westminster, CO 80021-3918
Phone
(800) 456-2536
NPI assigned
Nov 9, 2017
Last updated
Nov 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anthony McKeever
Title
Natl Director Accounts Receivable
Phone
(610) 542-3064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

8405 Church Ranch Blvd
Westminster, CO 80021-3918

Mailing address

8405 Church Ranch Blvd
Westminster, CO 80021-3918
Phone (800) 456-2536

National Provider Directory

National Provider Directory
Tax ID family
Devereux Cleo Wallace4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1417460791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 CHURCH RANCH BLVD",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800213918",
            "telephone_number": "800-456-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8405 CHURCH RANCH BLVD",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800213918",
            "telephone_number": "800-456-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVEREUX CLEO WALLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "MCKEEVER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "NATL DIRECTOR ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "610-542-3064"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.