State Of Colorado in Rifle - Skilled Nursing Facility

State Of Colorado - NPI 1093702722

State Of Colorado is a Skilled Nursing Facility in Rifle, Colorado. State Of Colorado practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for State Of Colorado is 1093702722. The last update date is 2010-02-19.

State Of Colorado's current location address is 851 East 5th Street, Rifle, Colorado. You can contact this provider via phone number 9706250842 and fax number 9706253706. The mailing address for State Of Colorado is 851 East 5th Street, Rifle, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Organization State Of Colorado
Address 851 East 5th Street, Rifle, Colorado
Phone Number 9706250842
Fax Number 9706253706
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL RE
Authorized Official Name Maynard M Nikki
Credentials RHIT
Telephone Number 9706250842

NPI Number Detail

NPI Number 1093702722
Provider Enumeration Date 2005-09-27
Last Updated Date 2010-02-19

Provider Mailing Address Detail

Address 851 East 5th Street
City Rifle
State Colorado (CO)
Post Code 816502941
Phone Number 9706250842
Fax Number 9706253706

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 358
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5652748 CO --

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FAQs about State Of Colorado

What is the unique identifier code issued to State Of Colorado by the Centers for Medicare & Medicaid Services?

The State Of Colorado has been assigned the NPI (National Provider Identifier) 1093702722. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of State Of Colorado?

The State Of Colorado is situated at 851 East 5Th Street, in the city of Rifle, state of CO, with the zip code 816502941.

What is State Of Colorado's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for State Of Colorado is Skilled Nursing Facility, and the corresponding taxonomy classification code for this specialized field is 314000000X.

On what date did the State Of Colorado receive its 1093702722 assignment from the Centers for Medicare & Medicaid Services?

The State Of Colorado was assigned its 1093702722 by the Centers for Medicare & Medicaid Services on 2005-09-27.

When was the State Of Colorado's information last updated?

The State Of Colorado's information was last updated on 2010-02-19.

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