Southern Colorado Comprehensive Court Services

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

139100 Issued in CO

Legal business name

SOUTHERN COLORADO COMPREHENSIVE COURT SERVICES

Practice address

200 W B St Ste 226
Pueblo, CO 81003-3574

Phone

(719) 595-1634

Fax

(719) 595-1643

NPI assigned

Sep 7, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Bradley James Rusovick, M.A. CACIII

Title

Director

Phone

(719) 334-1010

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1487935144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W B ST STE 226",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033574",
            "telephone_number": "719-595-1634",
            "fax_number": "719-595-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W B ST STE 226",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033574",
            "telephone_number": "719-595-1634",
            "fax_number": "719-595-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COLORADO COMPREHENSIVE COURT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "RUSOVICK",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "719-334-1010",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A. CACIII"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CO",
            "license": "139100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Colorado Clinic PC
• Southern Colorado Clinic PC
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• Southern Colorado Clinic PC
• Southern Colorado Clinic PC
• Southern Colorado Counseling and Wellness. PLLC
• Southern Colorado Crna Associates Inc
• Southern Colorado Dental Anesthesiology
• Southern Colorado Dermatology Clinic PC
• Southern Colorado Emergency Medical Associates

• All providers in Pueblo, CO
• Substance Abuse Rehabilitation Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.