EVERSIDE HEALTH - PUEBLO FORTINO BLVD
NPI 1710365416
Family Medicine in Pueblo, CO
NPI Status: Active since May 13, 2015
Contact Information
1300 FORTINO BLVD STE C
PUEBLO, CO
ZIP 81008
Phone: (719) 404-5100
- Organization
- Family Medicine
- CLIA Number: 06D2089876
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-08-2027
About EVERSIDE HEALTH - PUEBLO FORTINO BLVD
This page provides the complete NPI Profile along with additional information for Everside Health - Pueblo Fortino Blvd, a primary care provider established in Pueblo, Colorado operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1710365416 assigned on May 2015. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Everside Health - Pueblo Fortino Blvd. The authorized official of this NPI record is Jill Johnson Patton (Director Of Risk Management)
- NPI
- 1710365416
- Provider Legal Name
- EVERSIDE HEALTH, LLC
- Other Organization Name
- EVERSIDE HEALTH - PUEBLO FORTINO BLVD
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1300 FORTINO BLVD STE C PUEBLO, CO 81008
- Location Phone
- (719) 404-5100
- Mailing Address
- 4651 CHARLOTTE PARK DR STE 300 CHARLOTTE, NC 28217
- Mailing Phone
- (866) 808-6005
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-13-2015
- Last Update Date
- 08-11-2022
- Code Navigator
A primary care provider (PCP) like Everside Health - Pueblo Fortino Blvd sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 06D2089876
- Facility Type
- Physician Office
- Certificate Effective Date
- January 09, 2025
- Certificate Expiration Date
- January 08, 2027
- Laboratory Director
- DR. KENDAL CURTIS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Everside Health - Pueblo Fortino Blvd in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for EVERSIDE HEALTH - PUEBLO FORTINO BLVD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 1 | 0 | 3 | 6 | 5 | 4 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 6 | 6 | 10 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 6 + 6 + 1 + 0 + 4 + 2 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1710365416 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710365416, enumerated as an "organization" on May 13, 2015.
The provider is located at 1300 FORTINO BLVD STE C PUEBLO, CO 81008 and the phone number is (719) 404-5100.
Family Medicine with taxonomy code 207Q00000X.
