The Mountain Star Center in Pueblo - Community Based Residential Treatment Facility, Mental Illness
The Mountain Star Center - NPI 1013040385
The Mountain Star Center is a Community Based Residential Treatment Facility, Mental Illness in Pueblo, Colorado. The Mountain Star Center practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for The Mountain Star Center is 1013040385. The last update date is 2020-08-22.
The Mountain Star Center's current location address is 1600 W 24th St, Pueblo, Colorado. You can contact this provider via phone number 7195464000 and fax number 7195464484. The mailing address for The Mountain Star Center is 1600 W 24th St, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Mountain Star Center |
|---|---|
| Address | 1600 W 24th St, Pueblo, Colorado |
| Phone Number | 7195464000 |
| Fax Number | 7195464484 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | HIPAA OFFI |
|---|---|
| Authorized Official Name | Foo Kat |
| Telephone Number | 3038665871 |
NPI Number Detail
| NPI Number | 1013040385 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1600 W 24th St |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 810031411 |
| Phone Number | 7195464000 |
| Fax Number | 7195464484 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 13363 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18751067 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to The Mountain Star Center by the Centers for Medicare & Medicaid Services?
The The Mountain Star Center has been assigned the NPI (National Provider Identifier) 1013040385 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where The Mountain Star Center is geographically located?
The The Mountain Star Center is physically situated at the following location: 1600 W 24Th St, Pueblo, CO, 810031411.
What is The Mountain Star Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for The Mountain Star Center is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy classification code for this specialized field is 320800000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1013040385 to The Mountain Star Center?
The Centers for Medicare & Medicaid Services assigned the 1013040385 to The Mountain Star Center on 2007-03-14.
As of what date were the The Mountain Star Center's details last updated?
The information pertaining to the The Mountain Star Center, including its address, specialty, and other details, was most recently updated on 2020-08-22.