| NPI | 1720004450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN QUALLS CEO 970-810-4121 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: CO 0180) |
| Additional Taxonomies | 261QI0500X Clinic/Center Infusion Therapy |
| 261QS1200X Clinic/Center Sleep Disorder Diagnostic | |
| 261QX0200X Clinic/Center Oncology | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-08-30 |