Healthone Clinic Services - Pediatric Specialties LLC
Pediatrics in Grand Junction, CO. Organization (NPI-2).
NPI number1033725643
StatusActive
Last updated in NPPESSep 18, 2020
Details
- NPI
- 1033725643
- Entity type
- Organization (NPI-2)
- Legal business name
- Healthone Clinic Services - Pediatric Specialties LLC
- Organization subpart
- Yes
- Enumeration date
- Sep 18, 2020
- Certification date
- Sep 18, 2020
- Last updated
- Sep 18, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Practice location
2643 Patterson Rd Ste 603Grand Junction, CO 81506-1937
Phone 303-226-7230
Mailing address
2000 Health Park DrBrentwood, TN 37027-4525
Phone 615-372-5426
Authorized official
William M Smitham
Vice President
3035848119
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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