| North Range Behavioral Health | |
|
1170 W Ash St Ste 100 Windsor CO 80550 | |
| (970) 347-2120 | |
| Not Available |
| Full Name | North Range Behavioral Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1170 W Ash St Ste 100, Windsor, Colorado |
| Authorized Official Name and Position | Larry Pottorff (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9703472373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Range Behavioral Health 1300 N 17th Ave Greeley CO 80631-9584 Ph: (970) 347-2120 | North Range Behavioral Health 1170 W Ash St Ste 100 Windsor CO 80550 Ph: (970) 347-2120 |
| NPI Number | 1043707722 |
|---|---|
| Provider Enumeration Date | 04/18/2018 |
| Last Update Date | 07/13/2020 |
| Certification Date | 07/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043707722 | NPI | - | NPPES |
| 9000161753 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 150368 (Colorado) | Primary |
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