| Housing Catalyst | |
|
1715 W Mountain Ave Fort Collins CO 80521-2359 | |
| (970) 416-2910 | |
| (970) 221-0821 |
| Full Name | Housing Catalyst |
|---|---|
| Speciality | Social Worker |
| Location | 1715 W Mountain Ave, Fort Collins, Colorado |
| Authorized Official Name and Position | Michele Christensen (COO) |
| Authorized Official Contact | 9704162910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Housing Catalyst 1715 W Mountain Ave Fort Collins CO 80521-2359 Ph: (970) 416-2910 | Housing Catalyst 1715 W Mountain Ave Fort Collins CO 80521-2359 Ph: (970) 416-2910 |
| NPI Number | 1730756818 |
|---|---|
| Provider Enumeration Date | 06/08/2021 |
| Last Update Date | 06/11/2021 |
| Certification Date | 06/11/2021 |
| Medicare PECOS PAC ID | 6002219961 |
|---|---|
| Medicare Enrollment ID | O20210729001961 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730756818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Brenna R Rush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154778215 PECOS PAC ID: 8527461482 Enrollment ID: I20210729002061 |
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