Island Grove Regional Treatment Center in Greeley - Substance Abuse Rehabilitation Facility

Island Grove Regional Treatment Center - NPI 1952589327

Island Grove Regional Treatment Center is a Substance Abuse Rehabilitation Facility in Greeley, Colorado. Island Grove Regional Treatment Center practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Island Grove Regional Treatment Center is 1952589327. The last update date is 2008-02-07.

Island Grove Regional Treatment Center's current location address is 1260 H Street, Greeley, Colorado. You can contact this provider via phone number 9703516678 and fax number 9703527457. The mailing address for Island Grove Regional Treatment Center is 1260 H Street, Greeley, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Organization Island Grove Regional Treatment Center
Address 1260 H Street, Greeley, Colorado
Phone Number 9703516678
Fax Number 9703527457
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Alexander P Kendall
Credentials MSW
Telephone Number 9703566664

NPI Number Detail

NPI Number 1952589327
Provider Enumeration Date 2008-02-07
Last Updated Date 2008-02-07

Provider Mailing Address Detail

Address 1260 H Street
City Greeley
State Colorado (CO)
Post Code 80631
Phone Number 9703516678
Fax Number 9703527457

Provider's Primary Taxonomy Detail

Speciality Substance Abuse Rehabilitation Facility
Taxonomy 324500000X
Licence No 105109
Definition:
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4055764 CO --

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FAQs about Island Grove Regional Treatment Center

What is the unique 10-digit identifier code issued to Island Grove Regional Treatment Center by the Centers for Medicare & Medicaid Services?

The Island Grove Regional Treatment Center has been assigned the NPI (National Provider Identifier) 1952589327 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Island Grove Regional Treatment Center's facilities are situated?

The facilities of Island Grove Regional Treatment Center are physically located at the following address: 1260 H Street, Greeley, CO, 80631.

What is Island Grove Regional Treatment Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Island Grove Regional Treatment Center is Substance Abuse Rehabilitation Facility, and the taxonomy code that categorizes this field of expertise is 324500000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1952589327 to Island Grove Regional Treatment Center?

The Centers for Medicare & Medicaid Services assigned the 1952589327 to Island Grove Regional Treatment Center on 2008-02-07.

When was the information related to Island Grove Regional Treatment Center most recently updated or refreshed?

The details pertaining to the Island Grove Regional Treatment Center, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-02-07.

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