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

Last updated

Sep 7, 2011By the provider in NPPES

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. CACIIINPI 1548703937

Title

Director

Phone

(719) 334-1010

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley James Rusovick

  • Addiction (Substance Use Disorder) Counselor
  • Pueblo, CO
  • NPI 1548703937
  Authorized official Same address or phone

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
• Southern Colorado Clinic PC
• Southern Colorado Clinic PC
• Southern Colorado Clinic PC
• Southern Colorado Counseling and Wellness. PLLC
• Southern Colorado Crna Associates Inc
• Southern Colorado Dental Anesthesiology (Villalon Anesthesiology)
• Southern Colorado Dermatology Clinic PC
• Southern Colorado Emergency Medical Associates (Southern Colorado Emergency Medical Associates, Parkview Main)

• Substance Abuse Rehabilitation Facility in Pueblo, CO
• Providers in Pueblo, CO by specialty
• 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.