| NPI | 1609523299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE GRAY President 970-401-0126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2022-05-09 |