NORTH RANGE BEHAVIORAL HEALTH NPI 1073128476

NPI Information

NPI: 1073128476
Provider Name: NORTH RANGE BEHAVIORAL HEALTH
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
2350 W 3RD STREET RD
GREELEY, CO
ZIP 80631
Phone: (970) 347-2120
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NORTH RANGE BEHAVIORAL HEALTH is a rehabilitation and substance use disorder clinic center in Greeley, CO. NORTH RANGE BEHAVIORAL HEALTH NPI is 1073128476. The provider is registered as an organization entity type.

The provider's business location address is:

2350 W 3RD STREET RD
GREELEY, CO
ZIP 80631-548
Phone: (970) 347-2120

The provider's authorized official is Larry Pottorff .
The authorized official title is Executive Director and has the following contact phone number (970) 347-2373.

The enumeration date for this NPI number is 9/11/2020 and was last updated on 12/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes
2	324500000X	Substance Abuse Rehabilitation Facility				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9000164589	MEDICAID	COLORADO
2	1386-14	OTHER	COLORADO	DHS-OBH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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