Calvin Lidmark in Ft Carson - Addiction (substance Use Disorder)
Calvin Lidmark - NPI 1700983483
Calvin Lidmark is a Addiction (substance Use Disorder) in Ft Carson, Colorado. Calvin Lidmark practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Calvin Lidmark is 1700983483. The last update date is 2013-09-03.
Calvin Lidmark's current location address is 1650 Cochrane Cir, Ft Carson, Colorado. You can contact this provider via phone number 7195266073 and fax number 7195267732. The mailing address for Calvin Lidmark is 1650 Cochrane Cir, Ft Carson, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Calvin Lidmark |
|---|---|
| Address | 1650 Cochrane Cir, Ft Carson, Colorado |
| Phone Number | 7195266073 |
| Fax Number | 7195267732 |
| Sole Proprietor | N |
| Credentials | LPC, LAC, |
NPI Number Detail
| NPI Number | 1700983483 |
|---|---|
| Provider Enumeration Date | 2006-09-17 |
| Last Updated Date | 2013-09-03 |
Provider Mailing Address Detail
| Address | 1650 Cochrane Cir |
|---|---|
| City | Ft Carson |
| State | Colorado (CO) |
| Post Code | 809134604 |
| Phone Number | 7195266073 |
| Fax Number | 7195267732 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | ACD-167 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11703979 | CO | CAQH |
Post Comment/ Review Below
What is the unique provider identifier assigned to Calvin Lidmark?
The Calvin Lidmark has been issued the NPI (National Provider Identifier) 1700983483 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Calvin Lidmark's facilities are situated?
The facilities of Calvin Lidmark are physically located at the following address: 1650 Cochrane Cir, Ft Carson, CO, 809134604.
What is Calvin Lidmark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Calvin Lidmark is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.
On what date did Calvin Lidmark receive its 1700983483 assignment from the Centers for Medicare & Medicaid Services?
The Calvin Lidmark was assigned its 1700983483 on 2006-09-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Calvin Lidmark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Calvin Lidmark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-09-03.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY