SC Telehealth Clinic LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SC TELEHEALTH CLINIC LLC

Practice address

1013 Candytuft Blvd
Pueblo, CO 81001-1026

Phone

(719) 582-7287

NPI assigned

Jan 16, 2020

Organization subpart

No

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

Authorized official

Name

Renee D Fasano

Title

Owner Manager

Phone

(719) 582-7287

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1962032003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 CANDYTUFT BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011026",
            "telephone_number": "719-582-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 CANDYTUFT BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011026",
            "telephone_number": "719-582-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC TELEHEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "FASANO",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "719-582-7287"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Saunders, LCSW
• Andrew Sauthoff, CRNA
• Rejean Ruiel Regis Sawh, MD
• Sayers Dental PC
• James Sbarbaro, M.D.
• Bradley Scarborough, LPTA
• Abigail Renee Scarpi, RPH
• Avyanah Schaak
• Becky S. Schack
• Claire Schad

• Health Service Clinic/Center in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Health Service Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.