| |
1000 Lincoln Street Fort Morgan CO 80701-3210 | |
(970) 867-3391 | |
(970) 542-3306 |
Full Name | |
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Speciality | Psychiatric Unit |
Location | 1000 Lincoln Street, Fort Morgan, Colorado |
Authorized Official Name and Position | Terrance Dillon (ASSISTANT SECRETARY) |
Authorized Official Contact | 5025967220 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | 1000 Lincoln Street Fort Morgan CO 80701-3210 Ph: (970) 867-3391 |
NPI Number | 1750509840 |
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Provider Enumeration Date | 04/23/2007 |
Last Update Date | 04/22/2022 |
Certification Date | 04/22/2022 |
Identifier | Type | State | Issuer |
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1750509840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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