NORTH RANGE BEHAVIORAL HEALTH (NPI# 1346856887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346856887 |
Entity Type | Organization |
Organization Name | NORTH RANGE BEHAVIORAL HEALTH |
Practice Address |
1170 W Ash St Ste 100 Windsor CO 80550-4783 |
Mailing Address |
1300 N 17th Ave Greeley CO 80631-9584 |
Practice Telephone | 9703472120 |
Mailing Telephone | 9703472120 |
Enumeration Date | 2020-09-21 |
Last Update Date | 2020-09-21 |
Authorized Official Name | LARRY POTTORFF (EXECUTIVE DIRECOTR) |
Authorized Official Telephone | 9703472373 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | LICENSE | 1386-15 | 01 |
CO | 9000164617 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295060598 | North Range Behavioral Health | Clinic/Center | 1260 H St, Greeley, CO 80631-9115 | 2009-10-05 |
1275548638 | North Range Behavioral Health | Clinic/Center | 2350 W 3rd Street Rd, Greeley, CO 80631 | 2006-07-31 |
1669431524 | North Range Behavioral Health | Public Health or Welfare | 1300 N 17th Ave, Greeley, CO 80631 | 2006-03-20 |
1629684881 | North Range Behavioral Health | Clinic/Center | 1140 M St, Greeley, CO 80631-9586 | 2020-09-22 |
1386250843 | North Range Behavioral Health | Clinic/Center | 2930 11th Ave, Evans, CO 80620-1011 | 2020-09-21 |
1487260956 | North Range Behavioral Health | Clinic/Center | 1309 10th Ave, Greeley, CO 80631-3832 | 2020-09-21 |
1215543855 | North Range Behavioral Health | Clinic/Center | 7251 W 20th St Unit C, Greeley, CO 80634-4626 | 2020-09-18 |
1598371494 | North Range Behavioral Health | Clinic/Center | 100 N 11th Ave, Greeley, CO 80631-2011 | 2020-09-17 |
1578179487 | North Range Behavioral Health | Clinic/Center | 928 12th St, Greeley, CO 80631-4024 | 2020-09-17 |
1467068379 | North Range Behavioral Health | Clinic/Center | 1306 11th Ave, Greeley, CO 80631-3835 | 2020-09-17 |
Street Address |
1170 W ASH ST STE 100 |
City | WINDSOR |
State | CO |
Zip Code | 80550-4783 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871600619 | Allisyn Hollweg | Counselor | 1170 W Ash St Ste 100, Windsor, CO 80550-4783 | 2006-08-25 |
1043707722 | North Range Behavioral Health | Clinic/Center | 1170 W Ash St Ste 100, Windsor, CO 80550 | 2018-04-18 |
1396265476 | Amber Korgan | Counselor | 1170 W Ash St Ste 100, Windsor, CO 80550-4783 | 2017-06-21 |
1033511522 | Danielle K Matra | Counselor | 1170 W Ash St Ste 100, Windsor, CO 80550-4783 | 2014-09-16 |
1376766972 | Tammy Jo Coletta | Counselor | 1170 W Ash St Ste 100, Windsor, CO 80550-4783 | 2007-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881294502 | Beyond Milestones Occupational Therapy, LLC | Occupational Therapist | 1021 Canal Dr, Windsor, CO 80550 | 2020-10-30 |
1114422706 | Noco Healing Homes LLC | Home Health | 541 Garden Drive, Unit O, Suite 100, Windsor, CO 80550 | 2018-03-27 |
1629592803 | Karly Yingst | Nurse Practitioner | 1516 Morning Glow Dr, Windsor, CO 80550 | 2017-07-31 |
1053766469 | Mary Jennifer Lewis | Counselor | 1473 Moraine Valley Dr, Severance, CO 80550 | 2016-05-04 |
1225413461 | Joshua Chad Kelly | Dentist | 375 W 4th Ave, Severance, CO 80550 | 2015-07-29 |
1861896169 | Tamara Percifield | Dental Hygienist | 651 Babine Ct, Windsor, CO 80550 | 2014-10-15 |
1740541952 | Tender Hearts Home Healthcare, LLC | Home Health | 201 10th Street, Windsor, CO 80550 | 2012-06-04 |
1831474931 | Occupational Health Centers of The Southwest Pa PC | Clinic/Center | 9299 Eastman Park Drive, Windsor, CO 80550 | 2011-10-20 |
1366736357 | Brandon Lars Nielson | Dentist | 1297 Main St., Suite3, Windsor, CO 80550 | 2011-06-07 |
1255661096 | Duy Duy Thuc Tran | Physician Assistant | 1455 Main St Ste 150, Windsor, CO 80550 | 2009-12-29 |
Find all providers in zip 80550 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144830027 | Recovery Journey Services LLC | Clinic/Center | 126 E Granville St, Windsor, NC 27983-6754 | 2020-08-05 |
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1356956288 | Community Reach Center, Inc | Clinic/Center | 2551 W 84th Ave Ste 2, Westminster, CO 80031-3807 | 2020-09-08 |
1053926980 | Community Reach Center, Inc | Clinic/Center | 100 Spader Way Ste 267, Broomfield, CO 80020-2441 | 2020-09-08 |
1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
1679183503 | Flatirons Recovery Center, LLC | Clinic/Center | 2770 Dagny Way Ste 202, Lafayette, CO 80026-8013 | 2020-08-05 |
1225663545 | Centennial Mental Helath Center | Clinic/Center | 80 East First, Suite 2, Cheyenne Wells, CO 80810-0000 | 2020-03-06 |
1114557915 | Advantage Treatment Centers Inc | Clinic/Center | 12220 Hwy 61, Sterling, CO 80751 | 2020-01-21 |
1841820644 | Advantage Treatment Centers Inc | Clinic/Center | 2017 Lava Ln, Alamosa, CO 81101-3578 | 2020-01-21 |
1316589567 | Southeast Mental Health Services | Clinic/Center | 721 Barnes Ave, La Junta, CO 81050 | 2019-10-09 |
1003462623 | Realize Recovery LLC | Clinic/Center | 3775 Iris Ave Ste 6, Boulder, CO 80301-2043 | 2019-08-11 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.