Military Matters Ketamine Infusions of Colorado

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

MILITARY MATTERS KETAMINE INFUSIONS OF COLORADO

Practice address

530 Communication Cir
Colorado Springs, CO 80905-1744

Phone

(225) 776-2253

NPI assigned

Dec 24, 2019

Organization subpart

No

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

Authorized official

Name

Greg Trainer

Title

Exec. VP of Administration

Phone

(719) 675-0058

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1801435789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 E FILLMORE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076315",
            "telephone_number": "719-399-0390",
            "fax_number": "719-399-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 COMMUNICATION CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051744",
            "telephone_number": "225-776-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILITARY MATTERS KETAMINE INFUSIONS OF COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-24",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "TRAINER",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "EXEC. VP OF ADMINISTRATION",
        "authorized_official_telephone_number": "719-675-0058"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.