Provider Demographics
NPI:1679702542
Name:SLEEP COLORADO INCORPORATED
Entity type:Organization
Organization Name:SLEEP COLORADO INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:THURMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-387-8685
Mailing Address - Street 1:1849 AUSTIN BLUFFS PKWY
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-7843
Mailing Address - Country:US
Mailing Address - Phone:719-387-8685
Mailing Address - Fax:
Practice Address - Street 1:821 LAFAYETTE AVE
Practice Address - Street 2:SUITE 150
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80863-2445
Practice Address - Country:US
Practice Address - Phone:719-219-6890
Practice Address - Fax:719-387-8690
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SLEEP COLORADO INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-13
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic