NPIMap

Organization Active NPI

Complete Emergency Care Pueblo LLC

  • Emergency Care Clinic/Center
  • Pueblo, CO
National Provider Identifier
1639619620
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
COMPLETE EMERGENCY CARE PUEBLO LLC
Practice address
2035 S Pueblo Blvd
Pueblo, CO 81005-2577
Phone
(817) 527-3431
Fax
(817) 527-3445
NPI assigned
Feb 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Authorized official

Name
Mr. Braxton Neiman
Title
General Counsel
Phone
(817) 421-0031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

2035 S Pueblo Blvd
Pueblo, CO 81005-2577

Mailing address

PO Box 93323
Southlake, TX 76092-0113
Phone (817) 421-0012

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1639619620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93323",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760920113",
            "telephone_number": "817-421-0012",
            "fax_number": "817-421-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 S PUEBLO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052577",
            "telephone_number": "817-527-3431",
            "fax_number": "817-527-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE EMERGENCY CARE PUEBLO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "NEIMAN",
        "authorized_official_first_name": "BRAXTON",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "817-421-0031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.