NPI: 1770972713

ROGER HIMELRICK

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• Entity Type: Individual (Gender: M)
• Last Observed in the System¹ on:
• First Entered in the System¹ on: 2015-01-14
• Medicare Revalidation Due Date²: Not Available
• Certified the records on: Not Certified
• NPPES Profile Page: https://npiregistry.cms.hhs.gov/provider-view/1770972713
• CMS Profile Page: https://data.cms.gov/tools/medicare-physician-other-practitioner-look-up-tool/provider/1770972713

Addresses

• Primary & Current, 1026 W ABRIENDO AVE, PUEBLO, CO 810041128

Taxonomies

• 2018-01-07 ~ Present ³ , Counselor (101Y00000X), Primary

Licenses

• 2018-01-07 ~ Present ³ , ACB.0007288, CO

Orgs. with the Same Mailing Address (2)

The list below shows the Organization Entities (Entity Type Code: 2) with the same mailing addresses. They may be other branch offices or co-located businesses.

• SPANISH PEAKS MENTAL HEALTH CENTER (1932303195)
• HAVENS FAMILY CLINIC (1134249964)

Orgs. with the Same Practice Address (4)

The list below shows the Organization Entities (Entity Type Code: 2) with the same practice addresses. They may be co-located businesses.

• SURGICAL CONSULTANTS OF PUEBLO, PC (1841339447)
• SPANISH PEAKS HEALTHCARE SYSTEMS (1902239221)
• HAVEN BEHAVIORAL OUTPATIENT SERVICES OF COLORADO, LLC (1396380994)
• FAMILY SUPPORT CENTER OF COLORADO, LLC (1336753698)

Notes

1. https://nppes.cms.hhs.gov/#/
2. https://data.cms.gov/tools/medicare-revalidation-list
3. Our records go back to 2018-01-07, and any records preceding this date are not captured. Please regard 2018-01-07 as the earliest date we could verify the records back then, not as the actual date for the time range.
4. https://openpaymentsdata.cms.gov/
5. The information is based on the UnitedHealthcare Transparency in Coverage site.