Palisades at Broadmoor Park LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PALISADES AT BROADMOOR PARK LLC

Practice address

4547 Palisades Park View
Colorado Springs, CO 80906

Phone

(719) 226-2273

Fax

(719) 576-1818

NPI assigned

Jul 9, 2008

Organization subpart

No

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

Authorized official

Name

Jeffry P Dunn

Title

Manager

Phone

(719) 576-0178

Specialties & licenses 1

Addresses

Other names 1

• Palisades Health Clinic Dunn and Associates Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1689837692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 EAST CHEYENNE MTN BLVD",
            "address_2": "PALISADES AT BROADMOOR PARK",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80906",
            "telephone_number": "719-576-0178",
            "fax_number": "719-576-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4547 PALISADES PARK VIEW",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80906",
            "telephone_number": "719-226-2273",
            "fax_number": "719-576-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADES AT BROADMOOR PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "719-576-0178"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palisades Health Clinic Dunn and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anam Pal, MD
• Geralyn Palacio
• Bri-Anne Rae Palacios, MSW
• Rosa Linda Palacios
• Maryann Paligo, LCSW
• Palisades Health Clinic
• Palisades I MSL LLC
• Elizabeth Palka, MT, NMT
• Shawnae Pallaro
• Kathryn R Palleschi

• Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.