Organization Name: | CORTICAL HEALTHCARE, PLLC |
NPI Number: | 1598165219 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSHUA FLOWERS (PRESIDENT) |
Mailing Address: | 699 Summit Blvd. Unit I Frisco |
State: | CO US |
Postal Code: | 80443 |
Phone Number: | 9706683117 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2014 |
NPI Last Update Date: | 09/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | 20141518091 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |