NPIMap

Organization Active NPI

Spanish Clinic

  • Substance Abuse Rehabilitation Facility
  • Denver, CO
National Provider Identifier
1962019588
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SPANISH CLINIC
Practice address
12445 E 39TH Ave
Denver, CO 80239-3462
Phone
(720) 335-6651
NPI assigned
Sep 28, 2020
Organization subpart
Yes
Parent organization
SPANISH CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Alfonso Castillo
Title
Director
Phone
(303) 934-3040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

12445 E 39TH Ave
Denver, CO 80239-3462

Mailing address

4200 Morrison Rd Unit 8
Denver, CO 80219-2490
Phone (720) 225-7157

Other identifiers 1

IdentifierTypeStateIssuer
14987040MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Spanish Clinic7 organizations share this tax ID, including this one
Part of
Spanish Clinic

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12445 E 39th Ave
Denver, CO 80239
Phone (720) 335-6651

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1962019588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 MORRISON RD UNIT 8",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802192490",
            "telephone_number": "720-225-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12445 E 39TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802393462",
            "telephone_number": "720-335-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANISH CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPANISH CLINIC",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "303-934-3040"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14987040",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.