CENTENNIAL MENTAL HEALTH CENTER, INC. (NPI# 1588183065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588183065 |
| Entity Type | Organization |
| Organization Name | CENTENNIAL MENTAL HEALTH CENTER, INC. |
| Practice Address |
118 W 3rd St Julesburg CO 80737-1542 |
| Mailing Address |
211 W Main St Sterling CO 80751-3168 |
| Practice Telephone | 9704743769 |
| Practice Fax Number | 9704742099 |
| Mailing Telephone | 9705224549 |
| Mailing Fax Number | 9705226898 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-15 |
| Authorized Official Name | ELIZABETH L HICKMAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9705224549 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTENNIAL MENTAL HEALTH CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1145-07 | CO | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952936270 | Centennial Mental Health Center, Inc. | Clinic/Center | 80 E 1st Street, Suite 2, Cheyenne Wells, CO 80810-0000 | 2020-03-06 |
| 1235658709 | Centennial Mental Health Center, Inc. | Clinic/Center | 871 E 1st St, Akron, CO 80720-1705 | 2017-09-15 |
| 1780103259 | Centennial Mental Health Center, Inc. | Clinic/Center | 1291 Circle Dr, Burlington, CO 80807-1245 | 2017-09-15 |
| 1851810337 | Centennial Mental Health Center, Inc. | Clinic/Center | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2017-09-15 |
| 1932628419 | Centennial Mental Health Center, Inc. | Clinic/Center | 365 W 2nd St, Wray, CO 80758-1009 | 2017-09-15 |
| 1609395177 | Centennial Mental Health Center, Inc. | Clinic/Center | 211 W Main St, Sterling, CO 80751-3168 | 2017-09-15 |
| 1578082053 | Centennial Mental Health Center, Inc. | Clinic/Center | 215 S Ash St, Yuma, CO 80759-1903 | 2017-09-15 |
| 1215456793 | Centennial Mental Health Center, Inc. | Clinic/Center | 821 E Railroad Ave, Fort Morgan, CO 80701-3365 | 2017-09-15 |
| 1376062976 | Centennial Mental Health Center, Inc. | Clinic/Center | 650 E. Walnut, Unit C, Elizabeth, CO 80107 | 2017-09-14 |
| 1922527548 | Centennial Mental Health Center, Inc. | Clinic/Center | 606 Main Street, Limon, CO 80828 | 2017-09-14 |
| Street Address |
118 W 3RD ST |
| City | JULESBURG |
| State | CO |
| Zip Code | 80737-1542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619117512 | Centennial Mental Health Center | Community/Behavioral Health | 118 W 3rd St, Julesburg, CO 80737-1542 | 2009-03-05 |
| 1114467149 | Sharon Edler | Social Worker | 118 W 3rd St, Julesburg, CO 80737-1542 | 2017-02-23 |
| 1538580014 | Connie Swick | Social Worker | 118 W 3rd St, Julesburg, CO 80737-1542 | 2013-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093941494 | Abts Pharmacy LLC | Pharmacy | 121 Cedar Street, Julesburg, CO 80737 | 2009-05-31 |
| 1932192226 | Douglas Lee Kruckner | Family Medicine | 900 Cedar St, Julesburg, CO 80737 | 2005-08-23 |
| 1356574859 | Health Care Partners Foundation Inc | Clinic/Center | 502 W 8th St, Julesburg, CO 80737-1015 | 2009-08-31 |
| 1689116816 | Eastern Colorado Services for The Developmentally Disabled, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 823 W 9th St, Julesburg, CO 80737-1097 | 2016-11-04 |
| 1053326736 | Lisa Regier | Physician Assistant | 116 E 9th St, Julesburg, CO 80737-1100 | 2006-07-30 |
| 1407863871 | Michael Lipnick | Family Medicine | 116 E 9th St, Julesburg, CO 80737-1100 | 2006-08-01 |
| 1316954787 | Ronald Cooper | Physician Assistant | 116 E 9th St, Julesburg, CO 80737-1100 | 2006-08-01 |
| 1164439535 | Donald Dean Regier | Family Medicine | 116 E 9th St, Julesburg, CO 80737-1100 | 2006-08-01 |
| 1073647459 | Segwick County Heatlh Center | Nursing Facility/Intermediate Care Facility | 901 Cedar St, Julesburg, CO 80737-1120 | 2007-03-15 |
| 1649894858 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 900 Cedar St, Julesburg, CO 80737-1121 | 2020-06-03 |
| Find all providers in zip 80737 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901258 | Midwestern Colorado Mental Health Center | Clinic/Center | 238 E. Colorado Ave., Suite 9, Telluride, CO 81435 | 2020-10-27 |
| 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.